Zeziphi iindlela zam ze-OTC kunye nonyango lokuyeka ukutshaya

Imfundo yezeMpilo Usokhemesti wazi kakuhle

Sibaxabisile oosokhemesti kwi-SingleCare, kwaye siyakuqonda ukubaluleka kwabo kwiqela lakho lokhathalelo lwempilo. Kungenxa yoko le nto sisungule uthotho lwethu lwe-Pharmacist Knows Best. Nyanga nganye usokhemesti wethu wasendlini, uRamzi Yacoub, uFedd.D., Uyakusifundisa ngamayeza, ezempilo, okanye izihloko zempilo umntu oqhelekileyo ekufuneka ezazi. Emva kwayo yonke loo nto, oosokhemesti bazi ngcono!

Akukaze kube semva kwexesha kakhulu ukuba uyeke ukutshaya. Umngcipheko wesifo kunye nokufa kwangoko kuncitshiswe kakhulu xa uyeka. Kukho izibonelelo zempilo nokuba ungakanani na — kwaye ukhawuleza uyeke, kokukhona zikho.

Zininzi iindlela ezahlukeneyo zokuyeka ukutshaya okukunceda ukukhaba umkhwa. Kubalulekile ukufumana uncedo lokuyeka ukutshaya olusebenzela wena kwaye oluya kukunceda uyeke imidiza ngokulungileyo.

Ezinxulumene: Ngaba ukutshaya kuwonyusa umngcipheko wokufumana i-COVID-19?

Kutheni kunzima kangaka ukuyeka ukutshaya?

Inikotini yeyona nto iphambili kwiimveliso zecuba ezibangela ukuba likhoboka. Xa uzama ukuyeka ukutshaya, unokuba neempawu zokurhoxa kwe-nicotine kuba umzimba wakho uxhomekeke kwiziphumo ze-nicotine. Iimpawu eziqhelekileyo zokurhoxiswa kwe-nicotine zibandakanya ukungakhathali, unxunguphalo, ingxaki yokulala kunye nokwanda kokutya. Ukungonwabi kwabo kunokubangela ukuba uphinde uthabathe umkhwa, ukuze ubasuse.

7 yeka ukutshaya okuncedayo okusebenzayo

Ngethamsanqa, kukho iindlela ezahlukeneyo ezinokukunceda ulumke ngokuthe ngcembe kwi-nicotine kwaye unciphise iimpawu zokurhoxa ezenza kube nzima ukuyeka.

1. Intsini yeNicotine
2. Inikotini lozenge
3. Isicatshulwa seNicotine
4. Inikotini inhaler
5. Isitshizi sempumlo seNicotine
6. Amacwecwe angenayo i-nicotine (Chantix, Zyban)
7. Amayeza angekho kwilebula

I-Pharmacotherapy yokuyeka ukutshaya iwela ngokwamacandelo amabini aphambili: Unyango lwe-nicotine notshintsho kunye neemveliso zokuyeka ukutshaya.

Unyango oluthatha indawo yeNicotine (NRT)

Iimveliso zokutshintsha iNicotine ukubonelela ngamanqanaba afanayo enicotine ancipha ngokuthe chu ngokuhamba kwexesha.

Ii-NRTs ziyafumaneka ngeendlela ezahlukeneyo kunye namandla-kwi-counter-counter (OTC) kunye nonyango. Ziyaboniswa nguRhulumente wase-US Ukutya kunye noLawulo lweeDrug ukuba zisetyenziselwe iiveki eziyi-8 ukuya kwezi-12 kodwa zinokusetyenziswa ixesha elide ukuba wena nomboneleli wakho wezempilo niziva ngathi oko kuyimfuneko.

I-OTC NRTs

Iimveliso ze-OTC zonke ziyafumaneka kwiimpawu ezahlukeneyo zamagama kwaye ziyafumaneka njenge-generic. Ziquka:

• Intsini Uhlafunwa kancinci ude urhawuzelele. Emva koko beka i-gum phakathi kwesidlele nentsini de kube ukurhawuzelela kuphelile. Phinda le nkqubo de ininzi ye-tingle ihambile (malunga nemizuzu engama-30). Nicorette Igama eliqhelekileyo lophawu.
• Iilozenji kufuneka ivunyelwe inyibilike kancinci (malunga nemizuzu engama-20 ukuya kwengama-30) kwaye akufuneki ihlafunwe okanye iginywe. Nicorette Igama eliqhelekileyo lophawu.
• Iipatches Zisetyenziswa kwindawo ecocekileyo neyomileyo yesikhumba sakho kumzimba ongasentla okanye kwingalo engaphezulu engaphezulu. Iipatches zinokunxitywa kangangeeyure eziyi-16 ukuya kwezi-24 kwaye zonke iziqwengana kufuneka zisetyenziswe kwindawo eyahlukileyo ukunqanda ukucaphuka kolusu. UNikoderm Cq Igama eliqhelekileyo lophawu.

Imirhumo yeNRTs

Iifom zokumiselwa ze-NRT zifumaneka kuphela phantsi kwegama lophawu lweNicotrol kwaye ziyafumaneka njenge:

• Inhaler ukwenziwa kuphefumlwa ngomlomo amaxesha amaninzi ngemini. Ingabangela ukucaphuka komlomo okanye umqala xa uqala ukusebenzisa inhaler. UNicotrol Igama eliqhelekileyo lophawu.
• Ukutshiza ngeempumlo ufafazwa ngeempumlo amaxesha amaninzi ngemini. Inokubangela ukucaphuka empumlweni nasemqaleni xa uqala ukuyisebenzisa.

Ngaphambi kokuqala nayiphi na imveliso ye-NRT, kuya kufuneka usoloko uqhagamshelana nomboneleli wakho wezempilo, ngakumbi:

• Abasetyhini abakhulelweyo okanye abancancisayo
• Abantu abanesifo seswekile, i-asthma, okanye imeko yentliziyo
• Abantu abanoxinzelelo oluphezulu lwegazi okanye ukubetha kwentliziyo okungaqhelekanga

Kuya kufuneka uyeke ukuthatha imveliso ye-NRT kwaye ubize umnikezeli wakho wezempilo ukuba unazo naziphi na kwezi mpawu: isicaphucaphu, isiyezi, ukugabha, okanye ukubetha kwentliziyo okungaqhelekanga.

Iimveliso zokuyeka ukutshaya ezingezizo i-nicotine

Ukuba awukwazi ukusebenzisa imveliso ye-NRT ngenxa yesimo sempilo, okanye uyazi ukuba awuyi kukhumbula ukuyisebenzisa kaninzi ngemini, kukho amayeza amabini amayeza okuyeka ukutshaya afumaneka kwifomu yethebhulethi:

• Chantix (i-varenicline tartrate)
• Zyban (Ibupropion hydrochloride)

I-Zyban ifumaneka ngohlobo oluqhelekileyo, kodwa i-Chantix ifumaneka kuphela njenge-brand.

Zombini ezi zinto ziyeke ukutshaya zincedisa imichiza kwingqondo yakho ukunceda ukunciphisa iminqweno yakho ye-nicotine kwaye ithathwa kabini ngemini. Ixesha lokunyanga la mayeza ngokubanzi ziiveki ezili-12, kodwa ukuba uphumelele ukuyeka ukutshaya, inokusetyenziswa ixesha elide ukunciphisa umngcipheko wokutshaya ubuye.

Amayeza angekho kwilebula ukuyeka ukutshaya

Kwabo batshayayo abangaphumelelanga nolunye lonyango, abanye oogqirha baya kumisela amanye amayeza off-ileyibheli ukunceda. Ngaphandle kwelebheli kuthetha ukuba abavunyelwanga yi-FDA kolu setyenziso. Ngokwe- Umbutho woMhlaza waseMelika , Olu khetho lubandakanya i-nortriptyline (i-antidepressant), i-clonidine (i-antihypertensive), i-cytisine (ikhompawundi yezityalo), kunye ne-naltrexone (opiate antagonist).

Iziphumo ebezingalindelekanga zokuyeka ukutshaya iziyobisi

I-FDA ikhuphe ezinye izilumkiso malunga nokuthatha amayeza okuyeka ukutshaya kodwa igqibe ekubeni izibonelelo zokuyeka ukutshaya zingaphezulu komngcipheko wokuthatha la mayeza. Imingcipheko inxulumene nemiphumo emibi yempilo yengqondo kwaye ukuba uphawula naluphi na utshintsho kwiimvakalelo okanye ekuziphatheni ngelixa usela la mayeza, kufuneka uxelwe kugqirha wakho uyeke ukuthatha amayeza.

Ezinye zeziphumo ebezingalindelekanga eziqhelekileyo zeCantix zibandakanya isicaphucaphu, iingxaki zokulala, ukuqhina, irhasi, ukugabha.

KwiZyban, iziphumo ebezingalindelekanga eziqhelekileyo zibandakanya umlomo owomileyo, ukuphuthelwa, isiyezi, ukuqhina, isicaphucaphu.

Ukuba ucinga amayeza ayeke ukutshaya, thetha nomboneleli wakho wezempilo okanye usokhemesti.

Ezinxulumene: Ngaba kufuneka uthathe i-Wellbutrin uyeke ukutshaya?

Thelekisa ukutshaya iziyobisi

Igama leziyobisi	Ifom	Rx / OTC	Imiphumela	Ukuthandwa *	Ixabiso eliphakathi	Ikhuphoni elilodwa
Nicorette	Intsini yeNicotine	OTC	Ukutshintsha kwemizwelo, ukozela, ubunzima bokugxila, ukonyusa umdla wokutya, iintlungu kunye neentlungu, ukuqhina	# 1	$ 26.78	Fumana isigqebhezana
Chantix	Ithebhulethi engeyo-nicotine	Rx	Isicaphucaphu, iingxaki zokulala, ukuqhina, irhasi, ukugabha	#Mbini	$ 487.35	Fumana isigqebhezana
Nicorette	Inikotini lozenge	OTC	Utshintsho lwemood, ukudinwa, ingxaki yokugxila, ukutyeba, iintlungu okanye iintlungu, ukuqhina	# 3	$ 23.69	Fumana isigqebhezana
INicotrol NS	Isitshizi sempumlo seNicotine	Rx	Ukukhupha impumlo okanye umqala	# 4	$ 473.40	Fumana isigqebhezana
UNicotrol	Inikotini inhaler	Rx	Ukucaphuka komlomo okanye umqala	# 5	$ 450.54	Fumana isigqebhezana
UNikoderm Cq	Isicatshulwa seNicotine	OTC	Indawo yokufaka isicelo, isiyezi, intloko ebuhlungu, isisu esibuhlungu	# 6	$ 88.94	Fumana isigqebhezana
Zyban	Ithebhulethi engeyo-nicotine	Rx	Umlomo owomileyo, ukulala, isiyezi, ukuqhina, isicaphucaphu	# 7	$ 272.34	Fumana isigqebhezana

* Ukuthandwa kweziyobisi kusekwe kwi-singleCare yedatha yokugcwalisa idatha. Elona chiza laziwayo lokuyeka ukutshaya (# 1) lelona linamayeza amaninzi azalisa la mayeza asixhenxe achazwe apha ngasentla phakathi kukaJanuwari 1, 2019 noMeyi 30, 2020.

Ezinxulumene: I-Wellbutrin vs Chantix

Imibuzo ebuzwa qho

Kuthetha ntoni ukuyeka ukutshaya?

Ukuyeka ukutshaya yinkqubo yokuyeka ukusebenzisa icuba. Icuba linekhemikhali ebizwa ngokuba yi-nicotine. INicotine iyakhobokisa kwaye ibangela iimpawu zokurhoxa (umnqweno, isicaphucaphu, ukuba nochuku, ukutshintsha kweemvakalelo, ukuzuza ubunzima, njl. Njl.

Ziziphi iimveliso zokuyeka ukutshaya?

Kukho iindidi ezimbini zeemveliso zokuyeka ukutshaya:

1. Unyango oluthatha indawo yeNicotine : Iintsini, iilezenji, iipatches, iipreyi zempumlo, kunye nee-inhalers ezinedosi esezantsi ye-nicotine xa kuthelekiswa nokutshaya kunye nokunciphisa iimpawu zokurhoxa.
2. Iziyobisi ezingayekiyo ukutshaya iziyobisi : Amayeza kagqirha omlomo angenayo inikotini kodwa anciphise iimpawu zokurhoxa, ezinjengeenkanuko.

Yeyiphi eyona nto iluncedo ekuyekeni ukutshaya?

Alukho uncedo lokuyeka ukutshaya olusebenzayo kwindalo iphela. Ingcali yezempilo inokukunceda ufumane olona ncedo lokuyeka ukutshaya.

Iindlela zokunyanga ukutshintshwa kweNicotine zisebenza ngokulinganayo kwaye zonyusa amaqondo okuyeka ukutshaya Iipesenti ezili-150 ukuya kuma-200% . Amabango eChantix ukunceda abantu abaninzi bayeke ukutshaya kune-nicotine patch, bupropion, okanye placebo, kodwa ityala elinye leklinikhi Akuvezwanga kubaluleka kweenkcukacha manani phakathi kweemveliso. Nangona kunjalo, olunye uphando lufumene oko I-Chantix yayisebenza ngakumbi kuneZyban .

Qaphela: I-E-cigarettes ayisebenzi ukuyeka ukutshaya. Uninzi lwezifundo lubonisa ukuba i-e-cigarettes kunye nezinye izixhobo ezikhulayo azikunciphisi kakhulu ukusetyenziswa kwecuba, ngokwe Iziko leziyobisi .

Zeziphi iipilisi onokuzithatha ukuze uyeke ukutshaya?

I-Chantix kunye neZyban ziindidi ezimbini zeepilisi onokuthi uzithathe uyeke ukutshaya. Nangona kunjalo, kukho amanye amayeza angekho kwilebhile kwifomu yecapsule okanye ithebhulethi anokuyinywa ngugqirha kuxhomekeke kwimeko yakho. Oku kubandakanya clonidine (ithebhulethi), mzantsiweb (capsule), kunye mzantsi (ithebhulethi).

Ngaba ukuyeka ukutshaya kukhululekile?

Ukuyeka ukutshaya kunokuba simahla kwi-inshurensi. Phantse zonke izicwangciso zeinshurensi yezempilo (kwindawo yentengiso, iMedicaid, kunye neMedicare Icandelo D) zigubungela ukuyeka ukutshaya.

Ukuba awunayo i-inshurensi yezempilo, usenokugcina iziyobisi ekuyekeni ukutshaya ngamakhuphoni abavelisi kunye namakhadi ezaphulelo, njenge-SingleCare.

Ezinxulumene: Uyifumana njani iChantix yasimahla (nangaphandle kweinshurensi)

Ndingayeka njani ukutshaya ngaphandle kwamayeza?

Unako ukuyeka ukutshaya ngaphandle kwamayeza. Unyango lweqela kunye nokuyeka ukubanda okubandayo ziindlela ezingezizo ezamayeza zokuyeka ukutshaya. Abo bathatha inxaxheba kwiinkqubo zokuyeka ukutshaya okusekwe kwiqela 50% ukuya kwi-130% kunokwenzeka ukuba ayeke ukutshaya. Ukongeza, ukuyeka ukubandayo eTurkey kunye nokuyeka i-nicotine ngokupheleleyo kunokuba yiyo eyona ndlela isempilweni ukuyeka ukutshaya. Nangona kunjalo, iimpawu zokurhoxa kule ndlela zinokuba nzima ngakumbi kunenkqubo ethe chu yokunyanga intshongo.