I-Acetaminophen vs. ibuprofen: Umehluko, ukufana, nokuthi yikuphi okungcono kuwe
Izidakamizwa Vs. UmnganiUkubuka konke kwezidakamizwa nokwehluka okuyinhloko | Izimo zilashwa | Ukusebenza | Ukutholakala komshuwalense nokuqhathaniswa kwezindleko | Okuqhamuka uma udla imishanguzo | Ukusebenzisana kwezidakamizwa | Izexwayiso | Imibuzo evame ukubuzwa
I-Acetaminophen ne-ibuprofen yimithi engaphezu kwe-the-counter (OTC) elapha ubuhlungu nomkhuhlane. Basebenza ngokuvimba ama-prostaglandin, okuyizinto ezinemisebenzi eminingi ngesikhathi sokulimala noma sokugula. I-Ibuprofen ingasiza ekunciphiseni ukuvuvukala njengesidakamizwa esingaqedi ukuvuvukala (i-NSAID) kanti i-acetaminophen ayihlukaniswa njenge umuthi olwa nokuvuvukala .
Njengoba kuqeda izinhlungu ze-OTC, i-acetaminophen kanye nama-NSAID angelapha izimpawu ezifanayo zekhanda nezinye izinhlungu ezincane nezinhlungu. I-Acetaminophen ne-ibuprofen zombili izidakamizwa ezisebenza okwesikhashana ezidinga ukuphuzwa kaningi usuku lonke. Ngenkathi zombili lezi zidakamizwa ziyimithi esetshenziswa kakhulu, zinokwehluka okuthile emiphumeleni emibi nokuthi zisetshenziswa kanjani. I-Acetaminophen ne-ibuprofen nazo ziqukethe izithako ezahlukahlukene ezisebenzayo futhi zisebenza ngezindlela ezahlukene.
Uyini umehluko omkhulu phakathi kwe-acetaminophen ne-ibuprofen?
I-Acetaminophen (amakhuphoni e-Acetaminophen) —aziwa nangokuthi igama leTylenol — iyimithi ye-analgesic (eqeda izinhlungu) nemithi yokunciphisa imfiva (i-fever reducer). Indlela ngqo i-acetaminophen esebenza ngayo ayaziwa, kepha kukholakala ukuthi iyisithibeleli esibuthakathaka se-COX enzyme, ebhekele ukukhiqiza i-prostaglandin. Kungasebenza futhi ohlelweni oluphakathi lwezinzwa ukudambisa izinhlungu nomkhuhlane. Ngokungafani Ama-NSAID , I-acetaminophen ayisebenzi kahle ezimeni zokuvuvukala njenge-osteoarthritis ne-rheumatoid arthritis.
Ibuprofen (amakhuphoni e-Ibuprofen) yi-NSAID engasetshenziselwa ubuhlungu, umkhuhlane nokuvuvukala. Amagama ajwayelekile omkhiqizo we-ibuprofen afaka iMotrin ne-Advil. Ngokungafani ne-acetaminophen, ibuprofen iyi-COX enzyme inhibitor engakhethisi enganciphisa ubuhlungu nokuvuvukala okuvela ku-arthritis nobuhlungu obuhlangene. Ngenxa yemiphumela yayo ku-enzyme ye-COX-1, ibuprofen nayo ingaba nemiphumela emibi yamathumbu (GI).
OKUSHIWO: Yini i-Acetaminophen? | Kuyini i-Ibuprofen?
| Umehluko omkhulu phakathi kwe-acetaminophen ne-ibuprofen | ||
|---|---|---|
| I-Acetaminophen | Ibuprofen | |
| Isigaba sezidakamizwa | I-analgesic I-Antipyretic | Izidakamizwa ezingezona ukuvuvukala (i-NSAID) |
| Isimo somkhiqizo / ejwayelekile | Izinhlobo zebrendi nojwayelekile ziyatholakala | Izinhlobo zebrendi nojwayelekile ziyatholakala |
| Ngubani igama lomkhiqizo? | UTylenol | I-Advil, iMotrin, iMidol, iNuprin |
| Izidakamizwa zingena ngaziphi izinhlobo? | Ithebhulethi yomlomo Ama-capsules omlomo Uketshezi lomlomo | Ithebhulethi yomlomo Ama-capsules omlomo Uketshezi lomlomo |
| Uyini umthamo ojwayelekile? | 650 mg njalo emahoreni ama-4 kuye kwayi-6 njengoba kudingeka Umthamo omkhulu wansuku zonke: 3250 mg | 200 mg kuya ku-400 mg njalo emahoreni ama-4 kuye kwayi-6 njengoba kudingeka Umthamo omkhulu wansuku zonke: 1200 mg |
| Yelashwa isikhathi esingakanani? | Ubuhlungu besikhashana noma umkhuhlane noma njengokuyalelwa ngudokotela | Kuze kube yizinsuku eziyi-10 ngaphandle uma kuyalelwe ngudokotela |
| Ubani ovame ukusebenzisa umuthi? | Abantu abadala nezingane izinyanga eziyisithupha nangaphezulu | Abantu abadala nezingane izinyanga eziyisithupha nangaphezulu |
Ufuna intengo engcono kakhulu ku-ibuprofen?
Bhalisela izaziso zamanani e-ibuprofen bese uthola ukuthi intengo ishintsha nini!
Thola izexwayiso zentengo
Izimo eziphathwa yi-acetaminophen vs. ibuprofen
I-Acetaminophen ne-ibuprofen zombili ziyasebenza ukudambisa izinhlungu ezivunyelwe i-FDA ukwelapha ubuhlungu nomkhuhlane omncane. Izibonelo zobuhlungu obumaphakathi kuya obulinganiselayo zihlanganisa ukuphathwa yikhanda, ubuhlungu beqolo, izinyo, izinhlungu zemisipha, ukuqubuka, kanye nokuqaqamba kokuya esikhathini.
I-Acetaminophen iboniswa kuphela ekwelashweni okwesikhashana kobuhlungu nomkhuhlane. Kodwa-ke, inokusetshenziswa okungekho kwelebula kwe-arthritis, i-migraines, ne-dysmenorrhea (ukuya esikhathini okubuhlungu). I-Acetaminophen ingahle ingasebenzi kahle njengezinye izidakamizwa zalokhu kusetshenziswa kwelebula.
I-Ibuprofen ingasetshenziselwa ukwelapha ubuhlungu obujwayelekile kanye nomkhuhlane. Kubhalwe futhi ukwelapha ubuhlungu nokuvuvukala kusuka ku-arthritis, migraines, nase-dysmenorrhea.
Ucwaningo luye lwabonisa nokuthi i-acetaminophen ne-ibuprofen kungasetshenziswa phatha i-patent ductus arteriosus ezinganeni ezizalwe ngaphambi kwesikhathi. I-ductus arteriosus iyisitsha esikhulu segazi enhliziyweni yengane evame ukuvalwa ngemuva kokuzalwa. Kodwa-ke, kwezinye izingane, lo mthambo wegazi uhlala uvulekile futhi ungadala izinkinga zenhliziyo. Ama-NSAID afana ne-ibuprofen (Advil) noma i-naproxen (i-Aleve) asetshenziselwe ukwelapha i-patent ductus arteriosus.
| Isimo | I-Acetaminophen | Ibuprofen |
| Ubuhlungu | Yebo | Yebo |
| Imfiva | Yebo | Yebo |
| I-osteoarthritis | Ngaphandle kwelebula | Yebo |
| Isifo samathambo | Ngaphandle kwelebula | Yebo |
| Migraine | Ngaphandle kwelebula | Yebo |
| I-dysmenorrhea eyinhloko | Ngaphandle kwelebula | Yebo |
| I-patent ductus arteriosus | Ngaphandle kwelebula | Ngaphandle kwelebula |
Ingabe i-acetaminophen noma ibuprofen isebenza kangcono?
I-Acetaminophen ne-ibuprofen zingaba nokwehluka ekusebenzeni lapho zilapha umkhuhlane nezinhlobo ezahlukahlukene zobuhlungu. Kokubili kuvame ukuthathwa izikhathi eziningi kulo lonke usuku ukuthola ukukhululeka kwezimpawu.
Kokukodwa ukubuyekeza , ibuprofen yatholakala ifana noma ingcono kune-acetaminophen yokwelapha ubuhlungu nomkhuhlane kubantu abadala nasezinganeni. Zombili lezi zidakamizwa zitholakale ziphephe ngokulinganayo. Lokhu kubuyekezwa kufaka izifundo ezingama-85 ezehlukene kubantu abadala nasezinganeni.
Uma kukhulunywa ngezimo ezibuhlungu ezingapheli, i-ibuprofen ikhonjiswe ukuthi isebenza kangcono. Kokukodwa funda , ibuprofen kwatholakala ukuthi isebenza kangcono kune-acetaminophen yokwelapha ubuhlungu obuvela emigraines ephindaphindayo ne-osteoarthritis. Esinye isifundo uphethe imiphumela efanayo futhi ngathola ukuthi i-paracetamol (elinye igama le-acetaminophen) yayinokuphumula okungcono kobuhlungu nokubekezelelana kune-acetaminophen ye-osteoarthritis.
Ngoba zombili lezi zidakamizwa zisebenza ngezindlela ezingafani, esinye singakhethwa ngaphezu kwesinye ngezimo ezihlukile. Ubuhlungu buphansi futhi buxhomeke ekubekezeleleni kobuhlungu bomuntu. Ngakho-ke, ukukhululeka kobuhlungu kungahluka ngokuya ngempendulo yomuntu emithini. Kungcono ukufuna izeluleko kudokotela ochwepheshe bezempilo uma uzwa ubuhlungu noma umkhuhlane.
Ufuna intengo engcono kakhulu ku-acetaminophen?
Bhalisela izexwayiso zentengo ye-acetaminophen bese uthola ukuthi intengo ishintsha nini!
Thola izexwayiso zentengo
Ukuhlanganiswa nokuqhathaniswa kwezindleko kwe-acetaminophen vs. ibuprofen
I-Acetaminophen ingathengwa phezu kwekhawunta futhi itholakala ngamafomu ejwayelekile nawophawu. I-Medicare nezinhlelo eziningi zomshuwalense kungenzeka zingabandakanyi i-acetaminophen ngenxa yokutholakala kwayo kabanzi ngaphandle kwemithi kadokotela. Intengo emaphakathi yemali ye-acetaminophen ejwayelekile ingafinyelela ku- $ 11.99. Ngokusebenzisa ikhadi lesaphulelo le-SingleCare, ungonga okuningi bese wehlisela izindleko cishe ku- $ 2 ngebhodlela le-acetaminophen ejwayelekile.
Thola ikhadi lesaphulelo sakwaSingleCare
Ngokuvamile, i-Medicare nezinhlelo eziningi zomshuwalense zizofaka ibuprofen. Ibuprofen iyatholakala njengomuthi ojwayelekile noma wegama lomkhiqizo. Intengo ejwayelekile yemali ye-ibuprofen icishe ibe ngu- $ 15. Lezi zindleko zingancishiswa ngokusebenzisa isigqebhezana se-SingleCare. Ngokuya ngekhemisi olisebenzisayo, izindleko zingehliselwa ku- $ 4 ngebhodlela le-200 mg ibuprofen.
| I-Acetaminophen | Ibuprofen | |
| Ngokuvamile embozwe umshwalense? | Akunjalo | Yebo |
| Imbozwe ngokujwayelekile yi-Medicare? | Akunjalo | Yebo |
| Umthamo ojwayelekile | Amaphilisi angama-325 mg; Amaphilisi ama-2 njalo emahoreni ama-4 kuye kwayi-6 | Amaphilisi angama-200 mg: 1 kuya ku-2 amaphilisi njalo emahoreni ama-4 kuye kwayi-6 |
| I-Medicare copay ejwayelekile | $ 1 | $ 0- $ 22 |
| Izindleko ze-SingleCare | $ 2 + | $ 4 + |
Imiphumela emibi ejwayelekile ye-acetaminophen ne-ibuprofen
Imiphumela ejwayelekile etholwa yi-acetaminophen ne-ibuprofen ifaka imiphumela emibi yamathumbu (GI). Le miphumela emibi ifaka isicanucanu, ukuhlanza, ukuqunjelwa, nohudo. Zombili lezi zidakamizwa zingadala ikhanda, ukulunywa / ukuqubuka, nesiyezi, phakathi kweminye imiphumela emibi. I-Ibuprofen kungenzeka kakhulu ukuthi ibangele isilungulela nokugaya uma kuqhathaniswa ne-acetaminophen.
Eminye imiphumela emibi engandile yazo zombili izidakamizwa ingafaka ukopha, umkhuhlane, nomphimbo obuhlungu. Ukungezwani komzimba nezithako zezidakamizwa kungabandakanya ukuqubuka, ukuphefumula okuncane, nokuqina kwesifuba. Funa ukwelashwa uma uhlangabezana nale miphumela.
| I-Acetaminophen | Ibuprofen | |||
| Imiphumela emibi | Kusebenza? | Imvamisa | Kusebenza? | Imvamisa |
| Isicanucanu | Yebo | 3. 4% | Yebo | 3% -9% |
| Ukuhlanza | Yebo | ishumi nanhlanu% | Yebo | 15% -22% |
| Ukuqunjelwa | Yebo | 5% | Yebo | 1% -10% |
| Uhudo | Yebo | 1% -10% | Yebo | 1% -3% |
| Ubuhlungu bekhanda | Yebo | 1% -10% | Yebo | 1% -3% |
| Ukulunywa | Yebo | 5% | Yebo | 1% -10% |
| Isilungulela | Akunjalo | - | Yebo | 3% -9% |
| Isiyezi | Yebo | 1% -10% | Yebo | 3% -9% |
Lokhu kungenzeka kungabi uhlu oluphelele. Xhumana nodokotela wakho noma usokhemisi ngemiphumela engemihle engaba khona.
Umthombo: Micromedex ( acetaminophen ), IDailyMed ( ibuprofen )
Ukusebenzisana kwezidakamizwa kwe-acetaminophen ne-ibuprofen
Kokubili i-acetaminophen ne-ibuprofen kungasebenzisana ne-warfarin (i-Coumadin), igazi elincane elijwayelekile. Ukuthatha i-warfarin nganoma iyiphi yalezi zidakamizwa kungandisa ingozi yokopha. Ukuphuza utshwala nge-acetaminophen noma i-ibuprofen nayo inganciphisa igazi futhi inyuse ubungozi bemiphumela emibi.
I-Acetaminophen ingasebenzisana ne-isoniazid, i-antibiotic esetshenziselwa ukwelapha isifo sofuba. Ukuthatha i-isoniazid kungathinta indlela isibindi esisebenza ngayo i-acetaminophen futhi kungadala ukulimala kwesibindi. I-Phenytoin ne-carbamazepine yimithi emibili elwa nesifo sokuwa engakhuphula nengozi yokulimala kwesibindi lapho ithathwa nge-acetaminophen.
Ibuprofen ingasebenzisana nezidakamizwa eziningi kune-acetaminophen. Njenge-NSAID, kufanele igwenywe nezinye izidakamizwa ezinjengemithi yomfutho wegazi ophezulu njengoba ingaguqula amazinga omfutho wegazi. Amanye ama-anti-depressants nawo angandisa ingozi yokuphuma kwegazi lapho ethathwa nge-ibuprofen.
| Izidakamizwa | Isigaba Sezidakamizwa | I-Acetaminophen | Ibuprofen |
| I-Warfarin | I-Anticoagulant | Yebo | Yebo |
| I-Aspirin | I-Antiplatelet | Akunjalo | Yebo |
| Isoniazid | Imithi elwa namagciwane | Yebo | Akunjalo |
| Phenytoin I-Carbamazepine | I-antiepileptic | Yebo | Akunjalo |
| Sertraline I-Escitalopram I-Fluoxetine | I-antidepressant ekhethiwe ye-serotonin reuptake inhibitor (SSRI) | Akunjalo | Yebo |
| I-Venlafaxine I-Desvenlafaxine | ISerotonin-norepinephrine reuptake inhibitor (SNRI) i-antidepressant | Akunjalo | Yebo |
| I-Lisinopril Enalapril ILosartan Valsartan | Umfutho wegazi ophakeme | Akunjalo | Yebo |
| IMethotrexate I-Pemetrexed | I-Antimetabolite | Akunjalo | Yebo |
| ILithium | Isimisi sokuqina | Akunjalo | Yebo |
| ICyclosporine | I-Immunosuppressant | Akunjalo | Yebo |
Lokhu kungenzeka kungabi uhlu oluphelele lwako konke ukuhlangana kwezidakamizwa okungenzeka. Xhumana nodokotela ngayo yonke imithi okungenzeka uyayiphuza.
Izexwayiso ze-acetaminophen vs. ibuprofen
I-Acetaminophen ngokuvamile ibhekwa njengokubekezelela kahle. Kodwa-ke, ukuthatha okungaphezu kwesilinganiso esinconyiwe se-acetaminophen kungakhuphula ubungozi bokulimala kwesibindi. I-Acetaminophen yaziwa njenge-hepatotoxic noma enobuthi esibindini ngemithamo ephezulu.
I-Ibuprofen inamathuba amaningi okudala imiphumela emibi yamathumbu nenhliziyo kune-acetaminophen. Njengawo wonke ama-NSAID, ukusetshenziswa kwe-ibuprofen kungakhuphula ubungozi bezilonda zesisu, ikakhulukazi kubantu abanomlando wesifo sezilonda. Ukuthatha ibuprofen kungakhuphula nengozi yokuhlaselwa yisifo senhliziyo nokushaywa unhlangothi, ikakhulukazi kulabo abanomlando wezinkinga zenhliziyo noma umfutho wegazi ophakeme. I-Ibuprofen kufanele igwenywe ukuphatha izinhlungu ngaphambi, ngesikhathi, noma ngemuva kokuhlinzwa komthambo we-coronary bypass graft.
Ucwaningo oluthile lwathola ukuthi i-acetaminophen ingadala Imiphumela emibi ehlobene ne-NSAID ngemithamo ephakeme ngokuhamba kwesikhathi. Le micimbi emibi ifaka izilonda, isifo senhliziyo, nokushaywa unhlangothi kwabanye abantu abathambekele kule micimbi.
I-Acetaminophen ingathathwa njengephephile kune-ibuprofen yokukhulelwa. Kodwa-ke, le mithi kufanele ithathwe kuphela ngesikhathi sokukhulelwa uma izinzuzo zidlula izingozi. Ukuthatha i-acetaminophen noma ibuprofen kungadala ukuvalwa ngaphambi kwesikhathi kwe-ductus arteriosus ezinganeni.
Imibuzo ebuzwa njalo mayelana ne-acetaminophen vs. ibuprofen
Yini i-acetaminophen?
I-Acetaminophen iyi-over-the-counter (OTC) analgesic ne-antipyretic. Isetshenziselwa ukwelapha ubuhlungu obumaphakathi kuya kokulingene nomkhuhlane kubantu abadala nasezinganeni. I-Acetaminophen iza namandla ajwayelekile namandla angaphezulu.
Kuyini ibuprofen?
I-Ibuprofen yisidakamizwa esingaqedi ukuvuvukala (i-NSAID) esingalapha ubuhlungu nomkhuhlane. Iza ngamandla we-over-the-counter namandla kadokotela. Amandla aphakeme e-ibuprofen avame ukusetshenziselwa ukwelapha izimo ezibuhlungu ezingapheli njenge-osteoarthritis.
Ingabe i-acetaminophen ne-ibuprofen ziyefana?
Cha. I-Acetaminophen yaziwa ngegama lomkhiqizo iTylenol futhi ivunyelwe ukwelapha ubuhlungu nomkhuhlane. I-Ibuprofen yaziwa ngegama lomkhiqizo i-Advil noma i-Motrin futhi ivunyelwe ukwelapha ubuhlungu, umkhuhlane nokuvuvukala. I-Ibuprofen nayo iza nge-OTC namandla emithi kadokotela.
Ingabe i-acetaminophen noma ibuprofen ingcono?
I-Ibuprofen isebenza kangcono kune-acetaminophen yokwelapha ukuvuvukala nezimo ezibuhlungu ezingapheli. I-Ibuprofen ivunyelwe yi-FDA ukwelapha i-osteoarthritis ne-rheumatoid arthritis kanti i-acetaminophen ingasetshenziswa ngaphandle kwelebula ngalezi zimo. Kodwa-ke, i-acetaminophen ngokuvamile iyabekezeleleka kune-ibuprofen maqondana ne- okuqhamuka uma udla imishanguzo .
Ngingayisebenzisa i-acetaminophen noma ibuprofen ngenkathi ngikhulelwe?
I-Acetaminophen ingaphepha kune-ibuprofen kwabesifazane abakhulelwe. I-Ibuprofen kufanele igwenywe kwabesifazane abakhulelwe ngenxa yezingozi zemiphumela emibi. Xhumana nodokotela uma ukhulelwe noma uncelisa ngaphambi kokuthatha noma imuphi umuthi.
Ngingayisebenzisa i-acetaminophen noma ibuprofen ngotshwala?
Cha. Ukuphuza utshwala nge-acetaminophen noma i-ibuprofen kungakhuphula ubungozi bemiphumela emibi. Utshwala bungakhuphula ubungozi bokulimala kwesibindi, izilonda, nokopha uma kudliwe nge-acetaminophen noma ibuprofen.
Yikuphi okubi kakhulu kwesibindi — i-acetaminophen noma i-ibuprofen?
Ukulimala kwesibindi kuvame ukuhlotshaniswa ne-acetaminophen kune-ibuprofen. Lokhu kungenxa yokuthi i-acetaminophen ihlanganiswe kakhulu noma icutshungulwe esibindini. I-Ibuprofen ayivamile ukudala ukulimala kwesibindi futhi ayicutshungulwa kakhulu esibindini.
Kuphephile ukuthatha i-acetaminophen ne-ibuprofen ndawonye?
I-Acetaminophen ne-ibuprofen kungathathwa ndawonye ngokuphepha lapho kudambiswa izinhlungu. Ucwaningo luye lwabonisa ukuthi i-acetaminophen ne-ibuprofen zisebenza kakhulu ekwelapheni izinhlobo ezithile zobuhlungu lapho kuhlangene . Kodwa-ke, kubalulekile ukubonisana nodokotela ngoba ukuthatha imithamo ephezulu yazo zombili izidakamizwa kungaholela emiphumeleni emibi.











