ICymbalta vs. Prozac: 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
Uma wena noma othandekayo uhlangabezana nokudangala, ukukhathazeka , noma ezinye izimo ezithinta impilo yengqondo, awuwedwa. Abantu abadala baseMelika abangaphezu kwezigidi eziyi-16 banenkinga enkulu yokudangala (ebizwa nangokuthi i-MDD, noma ukucindezeleka), futhi abantu abadala abacishe babe yizigidi eziyi-7 benze isifo sokukhathazeka (GAD).
ICymbalta (duloxetine) neProzac (i-fluoxetine) yimithi emibili edumile yokulwa nokucindezelwa enikezwe ukucindezeleka nezinye izimo eziningana. Yomibili imishanguzo kadokotela ivunywa yi-United States Food and Drug Administration (FDA). Ukusetshenziswa kwemithi neCymbalta noma iProzac kuvame ukuhlanganiswa nokwelashwa kwengqondo nodokotela wezengqondo noma udokotela wezifo zengqondo.
ICymbalta ihlukaniswa eqenjini lemithi ebizwa nge-SNRIs (serotonin-norepinephrine reuptake inhibitors). Zisebenza ngokwandisa amazinga e-serotonin ne-norepinephrine ebuchosheni.
I-Prozac iyingxenye yeqembu lemithi ebizwa ngama-SSRI (i-serotonin reuptake inhibitors ekhethiwe). Ama-SSRI asebenza ngokwanda kwamazinga e-serotonin ebuchosheni.
Uyini umehluko omkhulu phakathi kweCymbalta neProzac?
ICymbalta (duloxetine) ngumuthi we-SNRI. Itholakala kuzo zombili izinhlobo zomkhiqizo kanye ne-generic. ICymbalta itholakala kuphela ngefomu le-capsule. Umthamo uyehluka, kepha umthamo ojwayelekile ungama-60 mg ngosuku. ICymbalta isetshenziswa kubantu abadala kepha ingasetshenziswa eminyakeni emincane ngemibandela ethile (bheka ishadi).
I-Prozac (i-fluoxetine) ngumuthi we-SSRI. Itholakala kuzo zombili izinhlobo zomkhiqizo kanye ne-generic. I-Prozac iyatholakala ngefomu yethebhulethi, ifomu le-capsule, nanjengesisombululo somlomo. Yize umthamo wehluka, umthamo ojwayelekile ungama-20 mg kanye ngosuku. I-Prozac ingasetshenziswa kubantu abadala kuzo zonke izinkomba ezibalulwe eshadini elingezansi. I-Prozac ingasetshenziswa nasezinganeni ezineminyaka engaphezu kwengu-8 ubudala ngokudangala noma ngaphezulu kweminyaka engu-7 ye-OCD.
| Umehluko omkhulu phakathi kweCymbalta neProzac | ||
|---|---|---|
| ICymbalta | I-Prozac | |
| Isigaba sezidakamizwa | ISerotonin-norepinephrine reuptake inhibitor (SNRI) | I-serotonin reuptake inhibitor ekhethiwe (SSRI) |
| Isimo somkhiqizo / ejwayelekile | Umkhiqizo nokujwayelekile | Umkhiqizo nokujwayelekile |
| Ngubani igama elijwayelekile? | I-Duloxetine | I-Fluoxetine |
| Izidakamizwa zingena ngaziphi izinhlobo? | Amaphilisi | Ithebhulethi, i-capsule, isisombululo somlomo; futhi iyatholakala ngokuhlangana ne-olanzapine njenge-Symbyax |
| Uyini umthamo ojwayelekile? | Isibonelo: 60 mg kanye ngosuku (isilinganiso siyahluka) | Isibonelo: 20 mg kanye ngosuku (isilinganiso siyahluka) |
| Yelashwa isikhathi esingakanani? | Iyahlukahluka | Iyahlukahluka |
| Ubani ovame ukusebenzisa umuthi? | Abantu abadala nezingane kanye nentsha eneminyaka engu-7 nangaphezulu ngesifo sokukhathazeka esijwayelekile noma iminyaka engu-13 nangaphezulu nge-fibromyalgia | Abantu abadala nezingane nezintsha zokucindezeleka (ngaphezu kweminyaka engu-8 ubudala) noma i-OCD (engaphezu kweminyaka engu-7 ubudala) |
Izimo eziphathwa yiCymbalta neProzac
I-Cymbalta ikhonjiswa ngesifo sokucindezeleka okukhulu, isifo sikashukela sobuhlungu besifo se-neuropathic, kanye nobuhlungu obungapheli bemisipha kubantu abadala. Ingasetshenziselwa inkinga yokukhathazeka ejwayelekile kubantu abadala kanye nezingane ezineminyaka engu-7 nangaphezulu kanye ne-fibromyalgia kubantu abadala nasebusheni abaneminyaka engu-13 nangaphezulu. ICymbalta ayigunyazwanga ukuthi isetshenziselwe izingane ukucindezeleka, ubuhlungu besifo sikashukela, noma ubuhlungu obungapheli besisipha.
I-Prozac ikhonjisiwe ngokudangala okukhulu kanye nokuphazamiseka okucindezela ngokweqile (OCD) ezinganeni, kwentsha nakubantu abadala. IProzac nayo ingaphatha i-bulimia nervosa, premenstrual dysphoric disorder, kanye ne-panic disorder. I-Prozac ayivunyelwe ukusetshenziswa ezinganeni ezingaphansi kweminyaka engu-7 ubudala.
Qaphela: I-Symbyax isidakamizwa esihlanganisiwe esiqukethe i-fluoxetine, isithako ku-Prozac, kanye nomunye umuthi obizwa ngokuthi i-olanzapine. I-Symbyax ingaphatha iziqephu ezicindezelayo ezihambisana ne-bipolar I disorder noma ukucindezelwa okungazweli ekwelashweni.
Kwesinye isikhathi odokotela bayayinikeza le mithi off-ilebula kokunye ukusetshenziswa kunalokho okukhonjisiwe.
| Isimo | ICymbalta | I-Prozac |
| Ukucindezeleka okukhulu | Yebo | Yebo |
| Isifo sokukhathazeka esijwayelekile | Yebo | Ngaphandle kwelebula |
| Ubuhlungu besifo sikashukela bezinzwa zesifo sikashukela | Yebo | Ngaphandle kwelebula |
| I-Fibromyalgia | Yebo | Ngaphandle kwelebula |
| Ubuhlungu obungapheli bemisipha | Yebo | Ngaphandle kwelebula |
| Isifo se-Obsessive-compulsive (OCD) | Ngaphandle kwelebula | Yebo |
| Bulimia amanosa | Akunjalo | Yebo |
| Ukuphazamiseka kovalo | Ngaphandle kwelebula | Yebo |
| Ukuphazamiseka kwangaphambi kokuya esikhathini | Ngaphandle kwelebula | Yebo |
| Ngokuhlanganiswa ne-olanzapine (njenge-Symbyax) yokwelapha iziqephu ezicindezelayo ezihambisana nesifo se-bipolar NOMA sokudangala okumelana nokwelashwa | Akunjalo | Yebo |
| Ukuphathwa kwezinkinga zokukhathazeka | Yebo | Yebo |
Ingabe iCymbalta noma iProzac isebenza kangcono?
Ucwaningo olulodwa kubuyekezwe izifundo eziningi eziqhathanisa iCymbalta, iProzac, nomunye umuthi obizwa nge-Effexor, ne-placebo. ICymbalta neProzac kutholakale zifana ngokusebenza ngempumelelo nokuphepha kweziguli ezinengcindezi.
Ukuxilongwa kuyisici esibalulekile ekunqumeni ukuthi imuphi umuthi ozolungela kakhulu. Isibonelo, uma inkomba ingukucindezeleka, iProzac noma iCymbalta kungaba yindlela efanelekile. Kodwa-ke, uma ukuxilongwa kuyi-OCD, iProzac ifaneleka kakhulu ngoba kuboniswa ukuphatha i-OCD ngenkathi iCymbalta ingekho. Futhi uma ukuxilongwa kuyi-fibromyalgia, iCymbalta ifaneleka kakhulu ngoba ikhonjiswa i-fibromyalgia, kuyilapho iProzac ingekho.
Umhlinzeki wakho wezokunakekelwa kwempilo anganquma ukuthi imuphi umuthi ofanele kakhulu kuwe, kucatshangelwa ukuxilongwa kwakho, umlando wezokwelapha, nezinye izimo zezokwelapha, kanye nanoma imiphi imithi oyiphuzayo engasebenzisana neCymbalta noma iProzac.
Ukuhlanganiswa kanye nokuqhathaniswa kwezindleko kweCymbalta vs. Prozac
Iningi lomshuwalense kanye ne-Medicare Part D yezinhlelo ezisetshenziswayo zimboza iCymbalta noma iProzac — ukukhetha ifomu elejwayelekile kuzoholela ekongeni izindleko ezinkulu. Imikhiqizo enegama lomkhiqizo ine-copay ephakeme kakhulu noma kungenzeka ingambozwa nhlobo.
Izindleko ezikhishwa ephaketheni zeCymbalta cishe zingama- $ 126 ngama-30, 60 mg amaphilisi ajwayelekile. Ikhadi lamahhala le-SingleCare lizokusiza ukuthi wonge imali kwi-genmbalta ejwayelekile, lehlise inani lize lifike ku- $ 15.
Izindleko eziphuma ephaketheni zeProzac cishe zingama- $ 21 ngama- # 30, 20 mg amaphilisi ajwayelekile. Ungonga imali kwi-Prozac ejwayelekile ngekhadi le-SingleCare, elingaletha intengo ejwayelekile yehle cishe ku- $ 4.
Xhumana nohlelo lwakho lomshuwalense ngolwazi olumboziwe olusesikhathini seCymbalta noma iProzac.
| ICymbalta | I-Prozac | |
| Ngokuvamile embozwe umshwalense? | Yebo (okujwayelekile) | Yebo (okujwayelekile) |
| Imbozwe ngokwejwayelekile yi-Medicare Part D? | Yebo (okujwayelekile) | Yebo (okujwayelekile) |
| Ubuningi | 30, 60 mg amaphilisi | 30, 20 mg amaphilisi |
| I-Medicare copay ejwayelekile | $ 0- $ 20 | $ 0- $ 20 |
| Izindleko ze-SingleCare | $ 15 + | $ 4- $ 20 |
Imiphumela emibi ejwayelekile yeCymbalta vs. Prozac
Imiphumela emibi kakhulu yeCymbalta yinhliziyo ebanga ukucanuzela kwenhliziyo, ikhanda elibuhlungu, ukulala, ukulahlekelwa isifiso sokudla, ukuqunjelwa, umlomo owomile, nesiyezi.
Imiphumela emibi kakhulu ye-Prozac yikhanda, isicanucanu, ukozela, ukuqwasha, ukulahlekelwa isifiso sokudla, imiphumela emibi yocansi, nokwethuka noma ukukhathazeka.
Uma ugcwalisa noma ugcwalisa kabusha incwadi yakho ye-Cymbalta noma ye-Prozac, uzothola umhlahlandlela wemithi oxoxa ngemiphumela emibi, izexwayiso, nolunye ulwazi olubalulekile ngemithi yakho.
Lolu akulona uhlu olugcwele lwemiphumela emibi. Okunye, imiphumela emibi kakhulu kungenzeka. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ukuthola uhlu oluphelele lwemiphumela emibi.
| ICymbalta | I-Prozac | |||
| Umphumela oseceleni | Kusebenza? | Imvamisa | Kusebenza? | Imvamisa |
| Ukuphathwa ikhanda | Yebo | 14% | Yebo | amashumi amabili nanye% |
| Isicanucanu | Yebo | 2. 3% | Yebo | amashumi amabili nanye% |
| Ukozela / ukulala | Yebo | 9% | Yebo | 13% |
| Uhudo | Yebo | 9% | Yebo | 12% |
| Ukuqunjelwa | Yebo | 9% | Yebo | 5% |
| Umlomo owomile | Yebo | 13% | Yebo | 10% |
| Ukuphazamiseka kokuchama / ukungasebenzi kahle kwezocansi | Yebo | 2-4% | Yebo | % akubikiwe |
| Ukuqwasha | Yebo | 9% | Yebo | 16% |
| Isiyezi | Yebo | 9% | Yebo | 9% |
| Ukulahleka kwesifiso | Yebo | 7% | Yebo | ishumi nanye% |
| Ukwesaba / ukukhathazeka | Yebo | 3% | Yebo | 13% |
Umthombo: DailyMed ( ICymbalta ), IDailyMed ( I-Prozac )
Ukusebenzisana kwezidakamizwa kweCymbalta vs. Prozac
Imithi ye-MAO inhibitor (i-MAOI, noma ye-monoamine oxidase inhibitor) akufanele isetshenziswe ngenkathi uthatha i-Cymbalta noma i-Prozac, noma isikhathi esithile ngaphambi noma ngemuva kokuthatha i-Cymbalta noma i-Prozac. Inhlanganisela ingakhuphula ubungozi be- isifo se-serotonin , isimo esiphuthumayo esisongela impilo ngenxa ye-serotonin eyeqile. Ama-Triptans, okuyimithi yokwelapha i-migraine, njenge-Imitrex (sumatriptan), kanye nezinye izidakamizwa zokulwa nengcindezi, akufanele isetshenziswe ngokuhlangana neCymbalta noma iProzac ngenxa yobungozi be-serotonin syndrome. Futhi, i-dextromethorphan ecindezela ukukhwehlela, etholakala eRobitussin-DM nemikhiqizo eminingi yokukhwehlela nemikhiqizo ebandayo, kufanele igwenywe ngoba ingadala neserotonin syndrome uma ihlanganiswe neCymbalta noma iProzac.
Gwema utshwala lapho uthatha iCymbalta noma iProzac.
Lolu akulona uhlu olugcwele lokusebenzisana kwezidakamizwa. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ukuthola uhlu oluphelele lokuhlangana kwezidakamizwa. Tshela udokotela wakho ngayo yonke imithi oyiphuzayo, kufaka phakathi incwadi kadokotela, i-over-the-counter (OTC), namavithamini.
| Izidakamizwa | Isigaba sezidakamizwa | ICymbalta | I-Prozac |
| I-Rasagiline USelegiline I-Tranylcypromine | Ama-MAOIs | Yebo | Yebo |
| Utshwala | Utshwala | Yebo | Yebo |
| I-Rizatriptan I-Sumatriptan Zolmitriptan | Ama-Triptans | Yebo | Yebo |
| ISt. John's Wort | Isengezo | Yebo | Yebo |
| I-Warfarin | I-Anticoagulant | Yebo | Yebo |
| ICodeine I-Hydrocodone I-Hydromorphone I-Methadone I-Morphine I-Oxycodone I-Tramadol | Ubuhlungu be-opioid buyadambisa | Yebo | Yebo |
| I-Dextromethorphan (kokukhwehlela okuningi nemikhiqizo ebandayo) | Ukukhwehlela okucindezelayo | Yebo | Yebo |
| I-Azithromycin I-Clarithromycin I-Erythromycin | Ama-antibiotic e-Macrolide | Akunjalo | Yebo |
| I-Aspirin Ibuprofen UMeloxicam UNabumetone I-Naproxen | Ama-NSAID | Yebo | Yebo |
| I-Citalopram I-Escitalopram I-Fluoxetine I-Fluvoxamine I-Paroxetine Sertraline | Izidakamizwa ze-SSRI | Yebo | Yebo |
| I-Desvenlafaxine I-Duloxetine I-Venlafaxine | Izidakamizwa ze-SNRI | Yebo | Yebo |
| Amitriptyline I-Desipramine Imipramine I-Nortriptyline | I-Tricyclic antidepressants | Yebo | Yebo |
| I-Baclofen I-Carisoprodol ICyclobenzaprine I-Metaxalone | Ukuphumula kwemisipha | Yebo | Yebo |
| I-Carbamazepine I-Divalproex sodium / valproic acid UGabapentin I-Lamotrigine Levetiracetam I-Phenobarbital Phenytoin I-Pregabalin I-Topiramate | Ama-anticonvulsants | Yebo | Yebo |
| I-Flecainide I-Propafenone I-Thioridazine Vinblastine | Izidakamizwa ezenziwe nge-enzyme CYP2D6 | Yebo | Yebo |
| I-Alprazolam Clonazepam I-Diazepam I-Lorazepam | I-Benzodiazepines | Yebo | Yebo |
Izexwayiso zeCymbalta neProzac
Ama-anti-depressants, kufaka phakathi iCymbalta neProzac, ane- isixwayiso sebhokisi elimnyama lokuzibulala. Isexwayiso sebhokisi elimnyama yisixwayiso esiqine kakhulu esidingwa yi-FDA. Izingane, intsha, kanye nabantu abadala abancane (abangafika eminyakeni engama-24 ubudala) abathatha imishanguzo yokulwa nengcindezi basengozini enkulu yokuzibulala nokuziphatha. Noma ngubani ophuza imishanguzo yokucindezela kufanele abhekwe ngokucophelela.
Ezinye izexwayiso:
- I-Serotonin syndrome iyisimo esiphuthumayo esisongela ukuphila esidalwa yi-serotonin eningi kakhulu. Iziguli ezithatha iCymbalta noma i-Prozac kufanele ziqashwe izimpawu nezimpawu ze-serotonin syndrome, njengokucabanga, ukubanjwa, isigqi senhliziyo noma ukushintsha kwengcindezi yegazi (okufana nomfutho wegazi ophakeme), kanye nokuphazamiseka. Funa ukwelashwa okuphuthumayo uma kukhona kulezi zimpawu. Ukuthatha ezinye izidakamizwa ezandisa amazinga e-serotonin (ama-triptans, ama-tricyclic antidepressants, i-fentanyl, i-lithium, i-tramadol, i-tryptophan, i-buspirone, i-dextromethorphan, i-amphetamines, i-St. John's Wort, nama-MAOIs) kwandisa ubungozi be-serotonin syndrome.
- Lapho uyeka i-Cymbalta noma i-Prozac, izimpawu zokuhoxa ezifana nokuyaluza kungenzeka. Umhlinzeki wakho wezokunakekelwa kwempilo angakweluleka ngendlela engcono yokuyeka i-Cymbalta noma i-Prozac, ngesheduli ye-taper slow. Ungalokothi umise iCymbalta noma iProzac ngokungazelelwe.
- Sebenzisa ngokuqapha ezigulini ezinokuquleka noma ezine-bipolar disorder.
- I-Hyponatremia (i-sodium ephansi) ngenxa yesifo se-secretion ye-antidiuretic hormone engafanele (SIADH) kungenzeka futhi ingaba nzima. Izimpawu zingafaka ikhanda, ubunzima bokugxila, ukukhubazeka kwememori, ukudideka, ubuthakathaka nokungazinzi, okungaholela ekuweni. Funa ukwelashwa okuphuthumayo bese umisa iCymbalta noma iProzac uma kuvela izimpawu.
- Gwema ama-SSRI ezigulini ezinama-engeli amancane angalashwa angalashwa (i-angle-closure glaucoma).
- Ama-SSRI angandisa ingozi yokuphuma kwegazi — le ngozi inyuka ngokusetshenziswa okuhambisanayo kwe-aspirin, ama-NSAID, noma i-warfarin.
- Ungashayeli noma usebenzise imishini uze wazi ukuthi iCymbalta noma iProzac ikuthinta kanjani.
- Sebenzisa ngokuqapha ezigulini ezinenkinga yezinso.
- ICymbalta noma iProzac ingaguqula amazinga kashukela egazini ezigulini ezinesifo sikashukela. Lokhu kudinga ukuqapha futhi kungadinga ukulungiswa komthamo emithini yesifo sikashukela.
- ICymbalta noma iProzac kungadala ushintsho lwesisindo. ICymbalta ingadala ukuzuza kwesisindo noma ukulahleka, kuyilapho iProzac ingadala ukuncipha. Gada isisindo ngesikhathi sokwelashwa ngeCymbalta noma iProzac.
- ICymbalta noma iProzac kufanele isetshenziswe kuphela ekukhulelweni uma inzuzo kumama inkulu kunobungozi enganeni. Ukuyeka imithi kungadala ukubuyela emuva kokucindezeleka noma ukukhathazeka. Kodwa-ke, ama-neonates adalulwe kwi-SNRI (njengeCymbalta) noma i-SSRI (njengeProzac) ku-trimester yesithathu abe nezinkinga ezidinga ukulaliswa isikhathi eside esibhedlela, ukwesekwa kokuphefumula, kanye nokudla nge-tube. Uma usuvele uthatha iCymbalta noma iProzac futhi uthola ukuthi ukhulelwe, xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo ngokushesha ukuze uthole isiqondiso.
- ICymbalta neProzac ziku- Uhlu Lwabhiya (izidakamizwa ezingase zingafaneleki kubantu abadala asebekhulile). Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ukuze ubone ukuthi iCymbalta noma iProzac iphephile yini kuwe.
Ezinye izixwayiso zeCymbalta:
- Amaphilisi weCymbalta kufanele agwinywe ephelele futhi angathathwa nokudla noma ngaphandle kokudla. Musa ukuhlafuna, ukuchoboza, noma ukuvula i-capsule.
- Kube nezimo zezinkinga zesibindi kubantu abathatha iCymbalta-lezi zingabulala. Xhumana nodokotela wakho ngokushesha bese uyeka ukuthatha iCymbalta uma uba nezimpawu ze-jaundice noma izinkinga zesibindi. Abantu abanezinkinga zesibindi kanye / noma abaphuza kakhulu utshwala akufanele bathathe iCymbalta.
- ICymbalta ingadala i-orthostatic hypotension (ukwehla komfutho wegazi lapho usukuma), uwe, kanye / noma uquleke. Ukuwa kungaholela ekuqhekekeni noma ekubhedlela.
- Ukuvela kwesikhumba okunzima kungenzeka. Zingaba ngenxa yezimo ezibizwa nge-erythema multiforme noma i-Stevens-Johnson syndrome. Yeka ukuthatha iCymbalta bese wazisa udokotela wakho khona manjalo ukuthola isiqondiso uma uba namabhamuza, uxebuka ukuqubuka, noma izilonda zesikhumba. Uma izimpawu zinzima, funa ukwelashwa okuphuthumayo.
- ICymbalta ingadala izinkinga zomchamo. Yazisa udokotela wakho uma unezinkinga zokuchama.
- Gada umfutho wegazi ngenkathi uthatha iCymbalta.
- Ungathathi iCymbalta uma unesifo esingapheli sesibindi noma i-cirrhosis.
- Ungathathi iCymbalta uma unesifo esibi sezinso.
Ezinye izexwayiso ze-Prozac:
- Ezimweni ezingavamile, kube nemibiko yokuqubuka nokungezwani komzimba / ukusabela kwe-systemic anaphylaxis, okube yingozi. Uma uhlangabezana nokuqubuka noma izimpawu zokungezwani komzimba, yeka ukuthatha iProzac, bese ufuna ukwelashwa ngokushesha.
- I-Prozac ingadala ukwandiswa kwe-QT kanye ne-ventricular arrhythmia, engasongela impilo. Iziguli ezithile zisengozini enkulu ngenxa yezimo zezokwelapha noma eminye imithi. Buza umhlinzeki wakho wezokunakekelwa kwezempilo uma iProzac iphephile kuwe.
Imibuzo ebuzwa njalo ngeCymbalta vs. Prozac
Kuyini iCymbalta?
ICymbalta, eyaziwa nangokuthi igama layo elijwayelekile elithi duloxetine, iyi-SNRI, noma i-serotonin-norepinephrine reuptake inhibitor. ICymbalta, etholakala ngohlobo lomkhiqizo kanye nolo olujwayelekile, ilapha ukucindezeleka, ukukhathazeka, i-fibromyalgia, ubuhlungu obuvela ku-peripheral neuropathy yesifo sikashukela, kanye nobuhlungu obungapheli besisipha.
Kuyini iProzac?
I-Prozac, eyaziwa nangokuthi igama layo elejwayelekile, i-fluoxetine, yi-SSRI noma i-serotonin reuptake inhibitor ekhethiwe. I-Prozac ilapha ukudangala, i-obsessive-compulsive disorder, i-bulimia nervosa, i-premenstrual dysphoric disorder, ne-panic disorder. I-Prozac iyatholakala kuzo zombili izinhlobo zohlobo lomkhiqizo nolo lujwayelekile.
Ngabe iCymbalta neProzac ziyefana?
ICymbalta neProzac ziyefana, kepha azifani. ICymbalta iyi-SNRI noma i-serotonin-norepinephrine reuptake inhibitor. Amanye ama-SNRI afaka phakathi i-Effexor (venlafaxine) ne-Pristiq (desvenlafaxine).
IProzac iyi-SSRI. Eminye imishanguzo ye-SSRI okungenzeka ukuthi wezwa ngayo ifaka phakathi uCelexa (citalopram), Lexapro (escitalopram), Luvox (fluvoxamine), Paxil (paroxetine), noZoloft (sertraline).
Ngabe iCymbalta noma iProzac ingcono?
Ucwaningo lukhombisa ukuthi iCymbalta neProzac ziyefana ngokuphepha nokusebenza ngempumelelo.
Imithi engcono kakhulu ongayinikezwa ngumhlinzeki wakho wezokunakekelwa kwempilo ongacubungula ukuxilongwa kwakho, izimpawu, izimo zezokwelapha, nomlando, kanye neminye imishanguzo oyithathayo engaxhumana neCymbalta noma iProzac.
Ngingayisebenzisa iCymbalta noma iProzac ngikhulelwe?
Ama-neonates adalulwe kuma-anti-depressants athile, kufaka phakathi i-Cymbalta noma i-Prozac, ku-trimester yesithathu yokukhulelwa abe nezinkinga ezinzima. Lezi zinkinga zibandakanya ukulaliswa isikhathi eside ezibhedlela, ukondliwa ngamashubhu, nokusekelwa kokuphefumula.
Uma usuvele uthatha iCymbalta noma iProzac futhi uthola ukuthi ukhulelwe, thintana nomhlinzeki wakho wezokunakekelwa kwempilo. Uma kunjalo ukuncelisa ibele , thintana ne-OB-GYN yakho futhi.
Ngingayisebenzisa iCymbalta noma iProzac ngotshwala?
Cha. ICymbalta noma iProzac akufanele ihlanganiswe notshwala. Inhlanganisela inyusa ingozi yokudangala kokuphefumula — ukuphefumula okuphuzile, ukungatholi umoya-mpilo owenele — futhi kungakhuphula ukuthamba nokulala futhi kuphazamise ukuphaphama.
Yini i-antidepressant engcono kuneProzac?
Onke ama-anti-depressants adlule ekuhlolweni okubanzi ukukhombisa kokubili ukuphepha nokusebenza kahle. Ngenkathi iProzac ingasebenza kakhulu, ayisebenzi kuwo wonke umuntu, ngoba abantu baphendula ngokuhlukile emithini ehlukahlukene. Uma uthatha iProzac futhi uzizwa ukuthi ayisebenzi ngemuva kokuyithatha amasonto ayisithupha kuya kwayisishiyagalombili, thintana nomhlinzeki wakho wezokunakekelwa kwempilo ngezeluleko zezokwelapha.
Ngabe iCymbalta yehluke kanjani kwezinye izidakamizwa zokulwa nengcindezi?
Imithi ye-SNRI efana neCymbalta isebenza kuzo zombili i-serotonin ne-norepinephrine ebuchosheni, kuyilapho imishanguzo ye-SSRI efana neProzac isebenza ku-serotonin. ICymbalta iphinde ikhonjiswe ukwelapha izinhlobo ezithile zobuhlungu, njenge-fibromyalgia, ubuhlungu be-musculoskeletal, nobuhlungu besifo sikashukela, ngaphezu kokucindezeleka nokukhathazeka.
Ngubani ongafanele athathe iCymbalta?
Abantu abathatha imishanguzo yokulwa nengcindezi esigabeni sezidakamizwa se-monoamine oxidase inhibitor (MAOI) akufanele bathathe iCymbalta. Eminye imithi ihlangana neCymbalta (bheka ishadi elingenhla). Buza umhlinzeki wakho wezokunakekelwa kwezempilo mayelana ne-serotonin syndrome, nokuthi imishanguzo oyiphuzayo iphephile ngokuhlangana neCymbalta.
Futhi, iCymbalta akufanele isetshenziselwe izingane ukucindezeleka, ubuhlungu besifo sikashukela, noma ubuhlungu obungapheli besisipha.
Ukufunda Okuhlobene:
