Main >> Izidakamizwa Vs. Umngani >> I-Celebrex vs. ibuprofen: Umehluko, ukufana, nokuthi yikuphi okungcono kuwe

I-Celebrex vs. ibuprofen: Umehluko, ukufana, nokuthi yikuphi okungcono kuwe

I-Celebrex vs. ibuprofen: Umehluko, ukufana, nokuthi yikuphi okungcono kuweIzidakamizwa Vs. Umngani

Ukubhekwa kwezidakamizwa nokwehluka okuyinhloko | Izimo zilashwa | Ukusebenza | Ukutholakala komshuwalense nokuqhathaniswa kwezindleko | Okuqhamuka uma udla imishanguzo | Ukusebenzisana kwezidakamizwa | Izexwayiso | Imibuzo evame ukubuzwa





I-arthritis yaziwa ngokudala izinhlungu nezinhlungu. Kunemithi eminingi kakhulu laphaya yezinhlungu ze-arthritis engadida ukuthi iyiphi oyithathayo. Imithi emibili ejwayelekile esigabeni se-NSAID (i-nonsteroidal anti-inflammatory drug) yiCelebrex (celecoxib) ne-ibuprofen.



Ama-NSAID angasebenza ekwelapheni i-osteoarthritis ne-rheumatoid arthritis, kanye nezinye izimo ezahlukahlukene. Kokubili iCelebrex ne-ibuprofen kuyatholakala ngendlela ejwayelekile. Ngenkathi iCelebrex itholakala kuphela ngudokotela, ungathenga amanani aphansi e-ibuprofen ngaphezulu kwe-counter. Imithamo ephakeme ye-ibuprofen iyatholakala ngemithi kadokotela. Ngoba iCelebrex ne-ibuprofen basesigabeni esifanayo semithi, ziyefana, kepha futhi zinomehluko othile ophawulekayo.

Uyini umehluko omkhulu phakathi kweLexapro vs. Zoloft?

Umehluko omkhulu phakathi kweCelebrex vs. ibuprofen
UCelebrex Ibuprofen
Isigaba sezidakamizwa I-NSAID, i-COX-2 inhibitor I-NSAID
Isimo somkhiqizo / ejwayelekile Umkhiqizo nokujwayelekile I-Rx: ejwayelekile
I-OTC: brand kanye generic
Ngubani igama elijwayelekile?
Ngubani igama lomkhiqizo?
Okujwayelekile: celecoxib Umkhiqizo: Motrin, Advil (OTC)
Izidakamizwa zingena ngaziphi izinhlobo? Amaphilisi (50, 100, 200, 400 mg)
Ifomu liketshezi lezingane lihlanganiswa nekhemisi
Amaphilisi wamandla kadokotela: 400 mg, 600 mg, 800 mg
I-OTC:
Amaphilisi ama-200 mg / amaphilisi / ama-softgel, ama-chewables ahlukahlukene, uketshezi namaconsi
Uyini umthamo ojwayelekile? Abantu abadala: 200 mg nsuku zonke ngokudla; ubuningi bama-400 ngosuku
Okunye: 100 mg kabili ngosuku
Izingane ezineminyaka emibili nangaphezulu: kuya ngesisindo
Abantu abadala: 200 kuya ku-800 mg kathathu noma kane nsuku zonke ngokudla; umthamo omkhulu uyehluka kuye ngesimo
Izingane: ziyehluka kuye ngobudala, isisindo, nokwakhiwa
Yelashwa isikhathi esingakanani? Iyahluka: amasonto kuya eminyakeni Kuyahluka: izinsuku kuye emasontweni, ezinye iziguli zithatha izinyanga noma iminyaka
Ubani ovame ukusebenzisa umuthi? Izingane ezineminyaka emibili nangaphezulu; abantu abadala Izingane izinyanga eziyisithupha nangaphezulu; abantu abadala

Ufuna intengo engcono kakhulu kuCelebrex?

Bhalisela izexwayiso zentengo yeCelebrex bese uthola ukuthi intengo ishintsha nini!

Thola izexwayiso zentengo



Izimo eziphathwe yiCelebrex ne-Ibuprofen

I-Celebrex, umuthi wokulwa nokuvuvukala (i-NSAID), yi kukhonjisiwe ngezimo ezilandelayo: i-osteoarthritis, i-rheumatoid arthritis, i-juvenile rheumatoid arthritis ezigulini ezineminyaka emibili nangaphezulu, i-ankylosing spondylitis, ubuhlungu obunzima, i-dysmenorrhea eyinhloko, kanye ne-adenomatous polyposis yomndeni njengenhlanganisela yokunakekelwa okujwayelekile.

I-Ibuprofen nayo iyi-NSAID futhi ikhonjiswa ukukhululeka kwezimpawu nezimpawu ze-osteoarthritis kanye ne-rheumatoid arthritis, ubuhlungu obumaphakathi kuya kokulingene, kanye ne-dysmenorrhea eyinhloko.

Isimo UCelebrex Ibuprofen
I-osteoarthritis Yebo Yebo
Isifo samathambo Yebo Yebo
I-juvenile rheumatoid arthritis (ezigulini ezineminyaka emibili nangaphezulu) Yebo Akunjalo
I-Ankylosing spondylitis Yebo Akunjalo
Ubuhlungu obukhulu Yebo Akunjalo
I-dysmenorrhea eyinhloko Yebo Yebo
I-adenomatous polyposis ejwayelekile njengokwelashwa okuhlanganisiwe Yebo Akunjalo
Ubuhlungu obumnene kuya obulinganiselayo Akunjalo Yebo


Izidakamizwa ze-NSAID zisebenza ngokuvimbela ama-prostaglandin (ama-prostaglandin abangela ubuhlungu nokuvuvukala) ekubeni enziwe. I-Prostaglandin yenziwa ngama-enzyme amabili, i-cyclooxygenase-1 (COX-1) ne-cyclooxygenase-2 (COX-2).



Ingabe iCelebrex noma i-Ibuprofen isebenza kangcono?

ICelebrex yaziwa njenge-COX-2 inhibitor ekhethiwe. Ngenkathi kuseyi-NSAID efana ne-ibuprofen, iCelebrex ivimba kuphela i-COX-2, ngokungafani ne-ibuprofen, evimba i-COX-1 ne-COX-2. Kusho ukuthini lokhu? I-COX-2 inhibitor ingaba lula esiswini, ngengozi ephansi yokudala izilonda zesisu.

Ku- izifundo zokwelashwa ngokusebenza kahle, uCelebrex ukhombisile:

  • Kunciphise ubuhlungu obuhlangene ezigulini ze-osteoarthritis
  • Ukunciphisa ubuhlungu obuhlangene nokuvuvukala kweziguli ze-rheumatoid arthritis
  • Ukwenza ngcono kweziguli ezine-arthritis yentsha yamathambo
  • Ukuthuthukiswa kweziguli ezine-ankylosing spondylitis (ebuhlungwini bezinhlungu, umsebenzi wezifo, nokukhubazeka okusebenzayo)
  • Ukukhululeka kobuhlungu obulinganiselayo nobunzima obudalwa ubuhlungu bokuhlinzwa noma i-dysmenorrhea

Ezifundweni zokwelashwa zokwenza kahle, ibuprofen kukhonjisiwe :



  • Umphumela ofanayo ku-aspirin ezigulini ezine-osteoarthritis kanye nesifo samathambo sobuhlungu nokuvuvukala
  • Ukukhululwa kobuhlungu be-episiotomy, izinqubo zamazinyo, kanye ne-dysmenorrhea

Imuphi umuthi osebenza kangcono? Kunzima ukusho. Kokukodwa funda , I-Celebrex ikhonjiswe ukuthi isebenza kahle njenge-ibuprofen yeziguli ezine-osteoarthritis yamadolo. Ezinye izifundo zibonisa ibuprofen ukusebenza ngempumelelo, ngenkathi abanye bephetha UCelebrex ingahle isebenze kangcono.

Ngokuphepha, izivivinyo zomtholampilo zeCelebrex, kanye nama-NSAID angakhethi (njenge-ibuprofen) angafika eminyakeni emithathu akhombise ubungozi obandayo bemicimbi yenhliziyo emithambo yegazi, i-myocardial infarction, ne-stroke, okungaba yingozi. Ngakho-ke, wonke ama-NSAID (kufaka phakathi kokubili iCelebrex ne-ibuprofen) angahle ahlotshaniswe nale ngozi. Futhi, wonke ama-NSAID, kufaka phakathi uCelebrex ne-ibuprofen, anengozi eyengeziwe yemicimbi ye-GI, njengokuphuma kwegazi nezilonda.



Isidakamizwa esingcono kakhulu kuwe singanqunywa kuphela ngumhlinzeki wakho wezokunakekelwa kwempilo, ongabheka isithombe sonke sesimo sakho, izici zobungozi, umlando wezempilo, kanye neminye imithi oyiphuzayo.

Ufuna intengo engcono kakhulu ku-Ibuprofen?

Bhalisela izaziso zamanani we-Ibuprofen bese uthola ukuthi intengo ishintsha nini!



Thola izexwayiso zentengo

Ukuqhathaniswa kanye nezindleko zokuqhathaniswa kweCelebrex vs. Ibuprofen

I-Celebrex imbozwa umshwalense kanye ne-Medicare Part D ngendlela yayo ejwayelekile ye-celecoxib. Umuthi ojwayelekile ungaba ngamaphilisi angama-30 we-200 mg celecoxib. Intengo ephuma ephaketheni icishe ibe $ 217.49 kepha ungathola i-celecoxib ngo- $ 105-145 kuma-pharmacy abambe iqhaza anekhuphoni le-SingleCare.



I-Ibuprofen imbozwe umshwalense kanye neMedicare Part D, emandleni kadokotela ka-400 mg, 600 mg, no-800 mg. Imiyalo kadokotela iyahlukahluka. Isibonelo, intengo yokuthengisa yamathebulethi angama-30 ka-800 mg ibuprofen ibiza noma yikuphi kusuka ku- $ 6-30. Ngekhuphoni le-SingleCare, izindleko ze-ibuprofen zingama- $ 4-8.

UCelebrex Ibuprofen
Ngokuvamile embozwe umshwalense? Yebo; okujwayelekile Yebo; amandla kadokotela
Imbozwe ngokwejwayelekile yi-Medicare Part D? Yebo; okujwayelekile Yebo; amandla kadokotela
Umthamo ojwayelekile 30, 200 mg amaphilisi we-celecoxib ejwayelekile 30, 800 mg amaphilisi e-ibuprofen
Inkokhelo ejwayelekile yeMedicare Part D $ 0-150 $ 0-14
Izindleko ze-SingleCare $ 105-145 $ 4-8

Imiphumela emibi yeCelebrex vs. Ibuprofen

Izenzakalo ezimbi kakhulu ezivame ukwenziwa zeCelebrex ne-ibuprofen zifaka phakathi ubuhlungu besisu, isifo sohudo, ukuqunjelwa kwesisu kanye nekhanda. Bona isigaba sesixwayiso ngolwazi oluthe xaxa mayelana nobungozi benhliziyo nemithambo yegazi yokuphuma kwegazi.

UCelebrex Ibuprofen
Imiphumela emibi Kusebenza? Imvamisa Kusebenza? Imvamisa *
Ubuhlungu besisu Yebo 4.1% Yebo 3-9%
Uhudo Yebo 5.6% Yebo 3-9%
I-Dyspepsia (ukugaya isisu) Yebo 8.8% Yebo 3-9%
Ubuhlungu bekhanda Yebo 15.8% Yebo 3-9%

* Ukuvama kwemiphumela emibi ye-ibuprofen akunikezwa ngemininingwane yezidakamizwa; kuphela ukuthi le miphumela yenzeke ku-3-9% yeziguli.

Umthombo: I-DailyMed (Celebrex) , I-DailyMed ( ibuprofen )

Lolu akulona uhlu oluphelele; eminye imiphumela emibi ingavela. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ukuthola imininingwane.

Ukusebenzisana kwezidakamizwa kukaCelebrex no-Ibuprofen

I-Celebrex ne-ibuprofen inokuxhumana okuningi okufanayo neminye imithi kadokotela. Yomibili le mithi ihlangana nabanciphisi begazi abanjengoCoumadin (warfarin), imishanguzo ethile yengcindezi yegazi (i-ACE inhibitors, ama-ARB kanye ne-beta blockers), ama-anti-depressants, kanye ne-diuretics efana ne-hydrochlorothiazide ne-methotrexate. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ukuthola isiqondiso.

Utshwala kufanele bugwenywe lapho uthatha iCelebrex noma ibuprofen. Ukusebenzisa noma iyiphi yale mithi ngotshwala kungakhuphula ubungozi be-GI (isisu) ukopha noma ukuvuvukala. Inhlanganisela nayo ingadala ukulimala kwezinso noma ukwehluleka kwezinso.

Lolu uhlu oluyingxenye yokusebenzisana kwezidakamizwa. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ukuthola eminye imininingwane.

Izidakamizwa Isigaba Sezidakamizwa UCelebrex Ibuprofen
I-Coumadin (warfarin) I-Anticoagulant Yebo Yebo
Zestril (lisinopril), Cozaar (losartan), njll Ama-ACE inhibitors, ama-ARB Yebo Yebo
I-Tenormin (atenolol), iTrolrol XL noma iLopressor (metoprolol) Abavimbela i-Beta Yebo Yebo
I-Diflucan (fluconazole) I-Antifungal Yebo Akunjalo
I-Lasix (i-furosemide), i-hydrochlorothiazide Izidakamizwa Yebo Yebo
I-Naproxen, i-Mobic (i-meloxicam) Amanye ama-NSAID Yebo Yebo
IMethotrexate I-Antimetabolite Yebo Yebo
I-Zoloft (sertraline), i-Paxil (i-paroxetine), i-Prozac (i-fluoxetine), i-Effexor (i-venlafaxine), i-Desyrel (i-trazodone), i-Elavil (i-amitriptyline), njll. Izidambisamagciwane Yebo Yebo
Utshwala Utshwala Yebo Yebo

Izexwayiso zeCelebrex ne-Ibuprofen

I-Celebrex kufanele igwenywe ezigulini eziphikisana nama-NSAID, kanye neziguli eziphikisana nesulfa. I-Ibuprofen kufanele igwenywe ezigulini eziphikisana nama-NSAID.

Ngoba yomibili le mithi ingama-NSAID, iCelebrex ne-ibuprofen banezexwayiso ezifanayo. Banesixwayiso esiyibhokisi (isexwayiso esiqine kakhulu njengoba kudingwa yi-Food and Drug Administration, noma i-FDA). I-Celebrex noma i-ibuprofen ingakhuphula ubungozi bezehlakalo ezinkulu zenhliziyo, i-MI (i-myocardial infarction, noma isifo senhliziyo), nesifo sohlangothi, konke okungabulala. Onke ama-NSAID anobungozi obufanayo, obukhulisa isikhathi eside lapho uwusebenzisa. Iziguli ezinesifo senhliziyo noma ezinezinto ezinobungozi benhliziyo zisengozini enkulu. I-Celebrex noma i-ibuprofen akufanele isetshenziselwe ubuhlungu ngesikhathi sokuhlinzwa komthambo we-coronary bypass graft (CABG).

Futhi kwisexwayiso esibhokisi kukhona ubungozi be-GI, noma imicimbi yamathumbu, kubandakanya ukopha, isilonda, nokugcwala kwesisu noma kwamathumbu, okungabulala. Noma iyiphi yale micimbi ingenzeka nganoma yisiphi isikhathi, futhi ngaphandle kwezimpawu zokuxwayisa. Iziguli esezikhulile nalabo abanomlando wezilonda noma we-GI abopha basengozini enkulu yemicimbi emibi ye-GI.

Ezinye izixwayiso zeCelebrex ne-ibuprofen zifaka:

  • Ingozi yama-enzyme aphakeme wesibindi futhi, kuyaqabukela, ukusabela okunzima kwe-hepatic.
  • Amacala amasha noma ukwanda komfutho wegazi ophezulu (umfutho wegazi ophakeme). Sebenzisa ngokuqapha ezigulini zegazi; qapha umfutho wegazi eduze ngesikhathi sokwelashwa.
  • Ukugcinwa kwamanzi ne-edema. Sebenzisa ngokuqapha ezigulini ezinokugcinwa koketshezi noma ukwehluleka kwenhliziyo
  • I-renal papillary necrosis / okunye ukulimala kwezinso ngokusetshenziswa kwesikhathi eside. Sebenzisa ngokuqapha kubantu asebekhulile, iziguli ezinokukhubazeka kokusebenza kwezinso, ukwehluleka kwenhliziyo, ukungasebenzi kwesibindi, kanye neziguli ezithatha isisu, i-ACE inhibitors, noma i-angiotensin II blockers.
  • Ukusabela kwe-Anaphylactoid. Ungayisebenzisi iziguli ezine- Ubuthathu bukaSamter .
  • Ukusabela okunamandla kwesikhumba kungenzeka njenge-exfoliative dermatitis, iStevens-Johnson syndrome (SJS), kanye ne-epidermal necrolysis enobuthi (TEN), engabulala futhi yenzeke ngaphandle kwesixwayiso. Yeka i-Celebrex bese ufuna ukwelashwa ngokushesha uma kwenzeka ukuqubuka noma ukusabela kwesikhumba.

Kukhona idatha elinganiselwe kuma-NSAID asetshenziselwa ukukhulelwa. Ukusetshenziswa kwawo wonke ama-NSAID, kufaka phakathi i-Celebrex ne-ibuprofen, phakathi ne-trimester yesithathu yokukhulelwa, kukhulisa ubungozi ukuvalwa ngaphambi kwesikhathi kwe-fetus ductus arteriosus . Ngakho-ke, ama-NSAID akufanele asetshenziswe ngemuva kwamasonto angama-30 ekhulelwe.

Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo maqondana nokusetshenziswa kweCelebrex noma ibuprofen ekukhulelweni. Uma usuvele uthatha iCelebrex noma ibuprofen futhi uthola ukuthi ukhulelwe, xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo ukuze akuthole.

Kunemininingwane elinganiselwe ku-Celebrex ne-ibuprofen ngokuncelisa; thintana nodokotela wakho ukuthola isiqondiso.

Imibuzo ebuzwa njalo mayelana neCelebrex vs. Ibuprofen

Kuyini iCelebrex?

I-Celebrex iyisidakamizwa esingaqedi ukuvuvukala (i-NSAID) esikhonjiswe ngalezi zimo ezilandelayo: i-osteoarthritis, isifo samathambo, isifo samathambo esisencane ezigulini ezineminyaka emibili nangaphezulu, i-ankylosing spondylitis, ubuhlungu obunzima, i-dysmenorrhea eyinhloko, kanye ne-adenomatous polyposis yomndeni njengenhlanganisela ejwayelekile ukunakekelwa.

Kuyini i-Ibuprofen?

I-Ibuprofen iyi-NSAID futhi isetshenziselwa ukwelapha izimpawu nezimpawu ze-osteoarthritis, i-rheumatoid arthritis, ubuhlungu obumaphakathi kuya kokulingene, kanye ne-dysmenorrhea eyinhloko.

Ngabe iCelebrex ne-Ibuprofen ziyefana?

Ngoba yomibili le mithi ingama-NSAID, ayafana futhi anemiphumela emibi efanayo nezixwayiso. Zihlukile ngezinkomba nangamanani. Bona ngenhla ukuthola okuningi ngokufana nokwehluka.

Ngabe iCelebrex noma i-Ibuprofen ingcono?

Zombili lezi zidakamizwa zingasebenza kakhulu ekwelapheni isifo samathambo kanye nezinye izimo. Ngokuya ngesimo noma imiphi imibandela oyelaphayo, futhi ucabangela noma yiziphi ezinye izimo zezokwelapha nezici zobungozi onazo, kanye neminye imithi oyiphuzayo, udokotela wakho angakusiza ekuncomeleni umuthi ofanele.

Ngingayisebenzisa iCelebrex noma i-Ibuprofen ngenkathi ngikhulelwe?

Uma uthola ukuthi ukhulelwe futhi usebenzisa uCelebrex noma ibuprofen xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo ukuze uthole izincomo.

Abesifazane abakhulelwe akufanele basebenzise lawa ma-NSAID ngemuva kwamasonto angama-30 ekhulelwe. Ukusebenzisa iCelebrex ne-ibuprofen phakathi ne-trimester yesithathu yokukhulelwa kungandisa ubungozi bokuvalwa ngaphambi kwesikhathi kwe-fetus ductus arteriosus.

Ngingayisebenzisa iCelebrex noma i-Ibuprofen ngotshwala?

Akunjalo . Ukusebenzisa noma iyiphi yale mithi ngotshwala kungakhuphula ubungozi be-GI (isisu) ukopha noma ukuvuvukala kwesisu. Inhlanganisela nayo ingadala ukulimala kwezinso noma ukwehluleka kwezinso.

Ingabe iCelebrex isebenza kangcono kune-ibuprofen?

Zombili lezi zidakamizwa zingasebenza kakhulu ekwelapheni ubuhlungu be-arthritis kanye nezinye izimo. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ukuze ufunde ukuthi imuphi umuthi olungele wena uma unikezwa isimo (izimo) sakho, umlando wezempilo, neminye imithi okungenzeka uyayiphuza.

Kungani bakhiphe uCelebrex emakethe?

ICelebrex isemakethe kusukela namuhla. I-Vioxx (rofecoxib), umuthi ofanayo noCelebrex, wawuyiyo isusiwe kusuka emakethe ngumkhiqizi wayo, uMerck, ngo-2004, ngenxa yengozi eyengeziwe yemicimbi yenhliziyo enokusebenzisa okungapheli. Ngo-2005, esinye isidakamizwa esifanayo, iBextra (valdecoxib), sasikhona wasuka emakethe ngomkhiqizi i-Pfizer ngezizathu ezifanayo.

Ingabe iCelebrex iyinhlungu ebulala izinhlungu?

I-Celebrex yisidakamizwa se-NSAID (nonsteroidal anti-inflammatory) esisiza ngezimpawu zobuhlungu nokuvuvukala okuvela ezimeni ezahlukahlukene (bheka ngenhla). Ngoba isebenza kuphela kuma-enzyme e-COX-2, kungahle kuphephe esiswini, yize kusekhona ubungozi be-GI.