Sithole incwadi kadokotela ethandwa kakhulu kuzo zonke izifundazwe ngo-2020

Inkampani

Ekuboneni kokuqala, i-Alaska neNew Mexico kungenzeka zingabonakali zifana kakhulu. Noma kunjalo, babelana ngomuthi ofanayo onqunywe kakhulu. Kungani? Yize izinto eziningi zishintshile ngo-2020, into eyodwa engenasidingo sabantu semithi kadokotela.

Unyaka wonke, i-SingleCare yaqhubeka nokuhlinzeka ngezaphulelo kwimigomo abantu abayidingayo, noma ngabe lokho kungukungezwani komzimba ngezikhathi ezithile ezindaweni ezine-allergenic kakhulu noma imithi yezinhliziyo yezimo ezingamahlalakhona. Abaphenyi beSingleCare bahlaziye idatha yethu kadokotela yango-2020 bathola umuthi ogcwaliswe kakhulu kuzo zonke izifundazwe.

Manje imuphi umuthi othandwa kakhulu lapho uhlala khona? Kungani? Funda ukuze uthole.

Imithi evame kakhulu kadokotela ngombuso:

1. I-Lisinopril (Prinivil / Zestril)
2. Uvithamini D
3. I-Levothyroxine sodium (Synthroid)
4. I-Amoxicillin (Amoxil)
5. I-Amlodipine besylate (Norvasc)
6. I-Ibuprofen (Motrin)
7. I-Amphetamine / dextroamphetamine (Adderall)
8. I-Alprazolam (Xanax)

Yeqela ekuhlukaneni kombuso nezwe

1. ILisinopril (Prinivil)

Izidakamizwa ezinqunyiwe kakhulu e-Alaska, Arkansas, Delaware, Iowa, Idaho, Illinois, Massachusetts, Minnesota, Missouri, Montana, North Carolina, Nebraska, New Hampshire, New Mexico, Nevada, Ohio, Oklahoma, Oregon, Texas, Virginia, Vermont, Washington , Wyoming

Thola isigqebhezana se-lisinopril

ILisinopril ngumuthi owelapha umfutho wegazi ophakeme (umfutho wegazi ophakeme) —isimo esivamile eU.S. Cishe isigamu sabo bonke abantu abadala sihlala nayo, ngokusho kwe Izikhungo Zase-U.S. Zokulawulwa Nokuvimbelwa Kwezifo (I-CDC). Futhi kukhona ubufakazi bendatshana ukuthi ubhadane lwe-COVID-19 (kanye nengcindezi okulethayo) kuqhuba lezo zinombolo ziphakeme kakhulu. Lokho ngabantu abaningi abangadinga incwadi kadokotela ye-lisinopril, engachaza ingxenye yesizathu sokuthi kube yiyoimithi edume kakhulu phakathi kwabasebenzisi beSingleCare cishe isigamu samazwe angama-50.

Imithi efana ne-lisinopril (i-ACE inhibitor) ithambisa imithambo yegazi futhi ivimbele ukuncipha, okwenza kube lula ngenhliziyo ukupompa igazi ngemithambo yakho. Ngoba i-lisinopril ijwayelekile, ayibizi, futhi iyasebenza, inqunywe kabanzi iminyaka engaphezu kwengu-20.

Ngokwengeziwe, i-lisinopril inezinzuzo ezinkulu ekunciphiseni ukuqhubekela phambili kwesifo sezinso, ikakhulukazi kwabanesifo sikashukela, kusho UBarry Gorlitsky ,MD,nephrologist futhiumbhali we-blog KidneyAide. Kubuye kunciphise ukucindezeleka enhliziyweni, kunciphise ukufa kwalabo abanesifo senhliziyo, futhi kuthuthukise ukusebenza kwenhliziyo. Kuyindlela yokuqala yokulwa nomfutho wegazi ophezulu enconyelwe iziguli ezincane nezindala, enconywe ngu izinhlangano eziningi zezokwelapha , kufaka phakathii-American Heart Association.

Ngazo zonke lezi zizathu, i-lisinopril iyinkosi, kusho uDkt. Gorlitsky.

OKUSHIWO: Imithi yengcindezi yegazi kanye nokwelashwa

ezimbili. Uvithamini D

Imithi eminingi ebekiwe ku- I-Alabama, Kentucky, New York, West Virginia

Thola isigqebhezana sikavithamini D

Umunca uvithamini D ngokwemvelo uma uchitha isikhathi elangeni, futhi nakho kuphakathi ukudla okuningi okudlayo . Kepha ezindaweni ezithile ezinelanga elincane noma ukufinyelela kumkhiqizo omusha, amazinga kavithamini D angawa ngokushesha angaphansi kokujwayelekile. Okusho ukuthi, kungaba yisisekelo ekhabetheni lakho lemithi.

Ukushoda kukavithamini D kuvamile, futhi bekulokhu kunjalo kuxhunywe ku- ukudangala, ukukhathala okungamahlalakhona, ukukhuluphala ngokweqile, isifo sikashukela, umfutho wegazi ophezulu, i-fibromyalgia, ne-osteoporosis, phakathi kwezinye izinto. Kwabanye, ukwengezwa okungaphezulu kwekhawunta kwanele. Ngomthamo ophakeme, ungadinga incwadi kadokotela.

Uvithamini D uvame ukubekwa kubantu abanenkinga ekhona kanye / noma njengengxenye yohlelo lokwelashwa lokuvimbela noma lokunciphisa ukukhula kwe-osteoporosis, kuchaza uDkt Emmel. Kuvame ukunikezwa iziguli ezindala, okungachaza ukuthi kungani kuphakamisa uhlu eWest Virginia, ene- Isibalo sesithathu esiphakeme sabantu asebekhulile ezweni.

Ngokushoda kukaVitamin D ngokujwayelekile kuxhunyaniswa nokushiswa yilanga okwanele, uDkt Emmel uthi akumangazi ukuthi kuhlu oludume kakhulu eNew York, uma kubhekwa isimo sezulu. Wayekhungathekile ngokwengeziwe mayelana nezinye izifunda ezikulolu hlu, kepha uma kucatshangelwa uvithamini D kwakungumuthi wokuphakamisa uhlu ezifundazweni eziningi ngonyaka odlule, kube khona ukwehla okuphawulekayo ekuthandweni kwayo ngo-2020. Mhlawumbe lokho kusho ukuthi abantu abaningi bebesebenza ngaphandle kwalo nyaka njengoba izindlela zokukhiya zibavimba kwezinye izilungiselelo zomphakathi.

OKUSHIWO: Ngingakanani i-vitamin D okufanele ngiyithathe?

3.Levothyroxine sodium (Synthroid)

Imithi eminingi ebekiwe ku- E-Arizona, eColorado

Thola isigqebhezana se-levothyroxine sodium

I-Levothyroxine isiza ukubuyisa amazinga e-hormone yegilo abuyele kokujwayelekile kubantu abane-thyroid engasebenzi (eyaziwa nangokuthi i-hypothyroidism). Kuyinkinga ejwayelekile yezempilo e-U.S., Ethinta 5 kubantu abangu-100 ezweni lonke.

Izimpawu zifaka ukukhathala, ukukhuluphala, ukuqunjelwa, ukwanda kokuzwela emakhazeni, ukuncipha kwezinwele nokudangala. Isimo singenzeka ngokwemvelo (kwesinye isikhathi njengomphumela wokuguga). Kungabangelwa futhi ukulimala (njengegciwane noma imisebe) kuya, noma ukususwa, kwendlala yegilo. I-Hypothyroidism ivame ukutholakala lapho umsebenzi wegazi wembula ngaphansi kwamazinga ejwayelekile we-thyroid.

Kungani i-levothyroxine ithandwa kangaka e-Arizona naseColorado? Lesi simo sidlange kakhulu kubantu besifazane nakubantu abaneminyaka engaphezu kwengama-60, ngakho-ke mhlawumbe isibalo sabantu kulezo zifundazwe sichaza lokho, kusho uDkt Emmel. (I-Arizona, empeleni, inephesenti eliphakeme le- abesifazane kunabesilisa , futhi ibuye ibe phezulu phezulu abantu asebekhulile -Kodwa iColorado yaziwa ngokungekho.) Kuvamile kakhulu ngakho-ke akumangalisi ukubona lo muthi ususondele phezulu kwemithi esetshenzisiwe kakhulu.

I-Levothyroxine kwesinye isikhathi isetshenziselwa ukwelapha ezinye izifo ze-thyroid, njengomdlavuza wegilo.

OKUSHIWO: Ukusebenzisana kwemithi ye-5

4.I-Amoxicillin (i-Amoxil)

Imithi eminingi ebekiwe ku- California

Thola isigqebhezana se-amoxicillin

Cishe uke wezwa nge-amoxicillin ngaphambili-ingenye yama-antibiotic athandwa kakhulu anikezwe isigaba se-penicillin. Isetshenziselwa ukwelapha ukutheleleka ngamagciwane, kusho uDkt Emmel. Uma isetshenziswe kahle, ingaba isikhali esinamandla ukulwa nezifo ezinjenge-strep throat, ukutheleleka kwezindlebe zebhaktheriya, i-pneumonia yebhaktheriya kanye nezifo zokuphefumula.

Ngeshwa, [futhi] isetshenziswa kakhulu ekwelapheni izifo okungenzeka ukuthi zibangelwa amagciwane, kusho uDkt. Emmel. Futhi ngenxa yokuthi i-amoxicillin ayilaphi ukutheleleka ngegciwane, lokho kusho ukuthi kunqunyelwe ngokweqile.

Isilinganiso esisodwa kwezintathu zemithi elwa namagciwane asidingekile, ngokusho kwe- i-CDC . Ukusetshenziswa ngokweqile kwale mithi kungaholela ukumelana namagciwane , isimo esenzeka lapho amagciwane namagciwane engasaphenduli emithini, okwenza lezo zifo zibe nzima ukwelashwa futhi zibe yingozi kakhulu.

Kepha, ukukwazi ngalo kuyakhula eminyakeni yamuva. Iqiniso lokuthi i-amoxicillin yayiyi-Rx ethandwa kakhulu ezifundazweni eziyisikhombisa ngo-2019, kodwa eyodwa kuphela kulo nyaka kungaba yisibonakaliso sokuthi odokotela bayichaza ngokukhululeka kakhulu kunangaphambili.

OKUSHIWO: Kwenzekani uma ungawaqedi ama-antibiotics?

5. I-Amlodipine besylate (iNorvasc)

Imithi eminingi ebekiwe ku- I-Connecticut, iLouisiana, iMississippi, eNew Jersey

Thola isigqebhezana se-amlodipine besylate

Njengelungu lesigaba semithi eyaziwa ngokuthi i-calcium channel blockers (CCB), i-amlodipine besylate ilapha umfutho wegazi ophakeme (umfutho wegazi ophakeme) kanye ne-angina (izinhlungu zesifuba ezinzima ezibangelwa ukuncipha kwegazi liye enhliziyweni).

Ungumuthi ophephile futhi ongabizi kakhulu, kusho uDkt. Emmel. Ngokufana ne-lisinopril, inhlanganisela yokusetshenziswa kwesimo esivamile, nezindleko zayo eziphansi, kuholela ekusetshenzisweni okuphezulu kakhulu.

Umfutho wegazi ophakeme uxhunyaniswa nengozi eyengeziwe yokushaywa unhlangothi, isifo senhliziyo, nezinkinga zezinso, yonke le mithi ekilasini leCCB esiza ukuyivimbela. Ngokwengeziwe, i-lisinopril yayisematheni kulo nyaka njenge- ingozi engaba khona yezinkinga lapho utheleleke nge-COVID-19. Yize ucwaningo belungahlangani, futhi odokotela bancoma iziguli baqhubeke nokuthatha ama-ACE inhibitor abo, lokhu kukhathazeka kungahle kuholele ekwandeni kwezidakamizwa ezingezinye — njenge-amlodipine — ezifundazweni ezishaywe kakhulu yigciwane, njengeLouisiana neNew Jersey.

Izizathu zokuthi kungani umuthi owodwa ungabekwa ngaphezulu komunye ziyahlukahluka. ILisinopril iyindlela yokwelashwa yokuqala engcono yomfutho wegazi ophakeme uma isiguli sinesifo sikashukela, ukwehluleka kwenhliziyo, noma ukuhlaselwa yinhliziyo ngaphambili, ngokusho kukaDkt Emmel. Khonamanjalo, i-amlodipine iyasiza futhi ekwelapheni i-angina (evame ukubangelwa yisifo semithambo yegazi), isenze kube yimithi engabekwa kakhulu uma isiguli silwa nalokho. Kungenzeka ukuthi izifundazwe lapho i-amlodipine ithandwa kakhulu zinezigameko eziphakeme ze-angina.

OKUSHIWO: Ayini amazinga ejwayelekile egazi?

6.Ibuprofen (Motrin)

Imithi eminingi ebekiwe ku- IFlorida, Georgia, Hawaii, Maryland

Thola isigqebhezana se-ibuprofen

Iningi labantu selifinyelele ibuprofen ngesikhathi esithile ezimpilweni zabo. Lesi sidakamizwa esingaqedi ukuvuvukala (i-NSAID) sisiza ukunciphisa izinhlungu nokuvuvukala. Ilapha ikhanda, izinhlungu zemisipha, imfiva, nokuvuvukala kwamalunga, kanye nezinye izimo ezahlukahlukene. Ingathengwa phezu kwekhawunta ngamanani aphansi.

Imithamo enamandla ye-ibuprofen ingahle inikezwe iziguli ezinezimo ezibuhlungu ezingapheli, njenge-arthritis ne-endometriosis.I-Ibuprofen 400 mg, 600 mg, kanye ne-800 mg zingamandla kadokotela. Odokotela kungenzeka ukunquma lokhu kaningi ukuvimbela ukusetshenziswa kwe-opioid, kusho uJoanna Lewis, Pharm.D., umsunguli we Umhlahlandlela Wosokhemisi .

IFlorida inesibalo sesibili sabantu asebekhulile, kanti iHawaii ikleliswe endaweni yesi-7 kulolo hlu — okungahle kuchaze ukuphakama kulo muthi kulawo mazwe.

Njenge- elwa nokuvuvukala, uDkt Lewis uthi ibuprofen ingasiza ezigulini eziningi ezahlukahlukene, akubalule ukuthi nayo ingumuthi ovamile onikezwa abantu ngemuva kokubeletha.

OKUSHIWO: Imithamo ye-Ibuprofen

7.I-Amphetamine / dextroamphetamine (Adderall)

Imithi eminingi ebekiwe ku- I-Indiana, Kansas, Maine, Michigan, North Dakota, Pennsylvania, Rhode Island, South Carolina, South Dakota, Utah, Wisconsin

Thola isigqebhezana se-amphetamine / dextroamphetamine

I-Amphetamine / dextroamphetamine ngumuthi ovuselelayo osetshenziselwa ukwelapha ukunakekelwa kokushoda kwengqondo (ADHD). Isetshenziswa kakhulu ezinganeni ezineminyaka esesikoleni nasebekhulile, ngakho-ke ukubalwa kwabantu kungachaza noma yikuphi ukungafani ekusetshenzisweni kwayo ezifundeni zonke, kusikisela uDkt Emmel. Empeleni, I-Indiana neNingizimu Carolina ziphakathi kwezifunda ezinhlanu eziphezulu zokuxilongwa kwe-ADHD. Futhi konke ngaphandle kweSouth Dakota ne-Utah kunamazinga aphezulu wokuxilongwa kwe-ADHD, ngokusho kwe- i-CDC .

Kucatshangwa ukuthi umuthi wehlisa ukungahlaliseki futhi uthuthukise ukugxila. Kuphumelela kakhulu lapho kusetshenziswa njengengxenye yohlelo lokwelashwa olunzulu oluqukethe izindlela zokwelapha ezahlukahlukene.

Njengeisikhungo sezinzwa esishukumisayo,i-amphetamine / dextroamphetamine ingaphinde ilaphe i-narcolepsy -isifo sokulala esimakwe yiziqephu ezingapheli zokukhathala kwasemini nezikhathi zokulala okungazelelwe, ezingalawuleki).

OKUSHIWO: Imithi yokwelashwa ye-ADHD

I-Alprazolam (Xanax)

Imithi eminingi ebekiwe ku- ETennessee

Thola isigqebhezana se-alprazolam

Ngo-Ephreli, imibiko yaqala ukusabalala ukuthi imishanguzo yokulwa nokukhathazeka, njenge-alprazolam, yayikhula ngokuthandwa— phezulu 34% . Mhlawumbe akumangazi-ke ukuthi, le mithi ifinyelele phezulu ohlwini lwesifundazwe esisodwa kulo nyaka. Ikakhulu eTennessee, ebekwe njengezwe ne amazinga aphezulu okucindezeleka ekuqaleni konyaka.

Ilungu lesigaba semithi esibizwa nge-benzodiazepines, i-alprazolam isebenza ngokwenza amakhemikhali emvelo asevele ekhona emzimbeni ukuze enze ukuzola phezu kohlelo lwemizwa oluphakathi.
Njengemithi eminingi elwa nokukhathazeka, imiphumela emibi ye-alprazolam ivame ukuzwakala lapho uqala umuthi nalapho uphuma kuwo. Izimpawu zokuhoxa zingabonakala lapho uyeka i-alprazolam turkey ebandayo. Ngalesi sizathu, iziguli kufanele zisebenze nodokotela bazo ukwehlisa umthamo wazo kancane uma zinquma ukuyeka ukuthatha lo muthi.

OKUSHIWO: Ama-62% abantu baseMelika babhekana nokukhathazeka, ngokusho kocwaningo olusha

Izidakamizwa eziningi ezibekiwe kuzo zonke izifundazwe

1. I-Alaska: I-Lisinopril
2. I-Alabama: Uvithamini D
3. I-Arkansas: I-Lisinopril
4. I-Arizona: I-Levothyroxine sodium
5. California: I-Amoxicillin
6. IColorado: I-Levothyroxine sodium
7. I-Connecticut: Amlodipine besylate
8. I-Delaware: I-Lisinopril
9. EFlorida: Ibuprofen
10. IGeorgia: Ibuprofen
11. IHawaii: Ibuprofen
12. I-Iowa: I-Lisinopril
13. Idaho: I-Lisinopril
14. I-Illinois: I-Lisinopril
15. I-Indiana: I-Amphetamine / dextroamphetamine
16. Kansas: I-Amphetamine / dextroamphetamine
17. EKentucky: Uvithamini D
18. ELouisiana: Amlodipine besylate
19. EMassachusetts: I-Lisinopril
20. EMaryland: Ibuprofen
21. I-Maine: I-Amphetamine / dextroamphetamine
22. EMichigan: I-Amphetamine / dextroamphetamine
23. IMinnesota: I-Lisinopril
24. EMissouri: I-Lisinopril
25. I-Mississippi: Amlodipine besylate
26. IMontana: I-Lisinopril
27. ENorth Carolina: I-Lisinopril
28. ENyakatho Dakota: I-Amphetamine / dextroamphetamine
29. Nebraska: I-Lisinopril
30. ENew Hampshire: I-Lisinopril
31. Ijezi elisha: Amlodipine besylate
32. ENew Mexico: I-Lisinopril
33. INevada: I-Lisinopril
34. I-New York: Uvithamini D
35. I-Ohio: I-Lisinopril
36. I-Oklahoma: I-Lisinopril
37. Oregon: I-Lisinopril
38. EPennsylvania: I-Amphetamine / dextroamphetamine
39. Rhode Island: I-Amphetamine / dextroamphetamine
40. ISouth Carolina: I-Amphetamine / dextroamphetamine
41. ENingizimu Dakota: I-Amphetamine / dextroamphetamine
42. ETennessee: I-Alprazolam
43. ETexas: I-Lisinopril
44. I-Utah: I-Amphetamine / dextroamphetamine
45. IVirginia: I-Lisinopril
46. I-Vermont: I-Lisinopril
47. Washington: I-Lisinopril
48. I-Wisconsin: I-Amphetamine / dextroamphetamine
49. ENtshonalanga Virginia: Uvithamini D
50. I-Wyoming: I-Lisinopril

Imininingwane edumile yemithi kadokotela ikhombisa imibhalo egcwaliswe kakhulu ngeSingleCare kusuka ngoJanuwari 1, 2020 kuya ku-Okthoba 31, 2020, ngaphandle kwama-opioid nezidakamizwa zokwehlisa isisindo.