UDelsym vs. Robitussin: 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
Ukukhwehlela, noma ngabe kungamahlalakhona noma kubi, kunomthelela omkhulu empilweni yansuku zonke nasezingeni lempilo. Ukukhwehlela kuthiwa kungu- uphawu oluyinhloko ngokubaluleka kwezokwelapha ngaphezu kwengxenye yokuvakashelwa okusha emitholampilo kubahlinzeki bokunakekelwa okuyisisekelo.
Ukukhwehlela okungapheli kucatshangwa ukuthi kubangelwa izinqubo ezintathu zezifo eziyinhloko: izifo ezingapheli zomoya (i-asthma ne-COPD), i-post-nasal drip, nesifo se-reflux se-gastroesophageal (GERD). Ukukhwehlela okunamandla kungahle kuhlobene nomkhuhlane ovamile, ukukhuphuka kwesifuba somoya, noma izifo eziphezulu zokuphefumula ezifana ne-bronchitis. Ukukhwehlela kungahle komile, okusho ukuthi akuvezi amafinyila noma i-phlegm, noma kungaba manzi, okusho ukuthi kuveza amafinyila noma i-phlegm kusuka emgodini wokuphefumula. Ukukhwehlela okomile kuvame ukuba nomsindo oshintshashintshayo, ngenkathi umsindo wokukhwehlela okumanzi ungaba nomthelela wokuxokozela futhi ushintshe njengoba amafinyila ahamba ezindleleni zomoya.
I-Delsym (dextromethorphan) neRobitussin (dextromethorphan) yimithi emibili ekhwehlela ukukhwehlela etholakala ngaphandle kwencwadi kadokotela yokusiza ukuhlinzeka ngesikhashana ukukhwehlela. UDelsym noRobitussin ngamunye ungowolayini wemikhiqizo ngaphansi kwegama elifanayo lokuhweba elihlinzeka ngemithi ehlanganisiwe ehlose ukwelapha ukukhwehlela nezimpawu ezibandayo ezahlukahlukene kubandakanya ukukhwehlela, ukuminyana kwesifuba, ikhala eligijimayo, ukuminyana kwamakhala, nomkhuhlane.
Uyini umehluko omkhulu phakathi kukaDelsym noRobitussin?
I-Delsym iyimithi yokusiza yokukhwehlela yasesitolo. Isithako sikaDelsym esisebenzayo yi-dextromethorphan, isithako esivamile emalungiselelweni amaningi okukhwehlela okweqile. I-Dextromethorphan, ngenkathi ingeyona i-opioid, ihlobene namakhemikhali ne-codeine. Igcina izakhiwo eziphikisanayo ze-codeine kepha ayibonisi noma yiziphi ezinye izici ezijwayelekile ze-opiate agonist. I-Dextromethorphan isebenza maphakathi ukucindezela ukukhwehlela ngokunciphisa ukujabula kwesikhungo sokukhwehlela ebuchosheni. Okwenza i-Delsym ihluke ukwakheka kokukhishwa kwesikhathi okunelungelo lobunikazi okunikela ngamahora we-12 wokukhululeka kokukhwehlela uma kuqhathaniswa namahora ejwayelekile amane kuya kwayisithupha okusizakala ahlinzekwa ezinye izinhlobo zesiraphu sokukhwehlela ezinganikezwa isikhathi.
I-Delsym iyatholakala ngokumiswa okungama-30 mg / 5 ml okuqukethe i-patent dextromethorphan polistirex molecule ekhipha umuthi ngokuhamba kwesikhathi. Iza ngama-ounces amathathu nohlanu kuwo omabili ama-orange namagilebhisi. I-Delsym ingasetshenziswa yizingane ezineminyaka engu-4 nangaphezulu.
URobitussin ubuye futhi acindezele ukukhwehlela okweqile. Isithako esisebenzayo seRobitussin naso siyi-dextromethorphan. I-Robitussin 12-Hour Cough iyafana neDelsym ngoba iyindlela ekhipha isikhathi ye-dextromethorphan polistirex ekumisweni okungama-30 mg / 5 ml.
I-Robitussin 12-Hour Cough Relief ifika ngama-ounces amathathu noma amahlanu ku-orenji namagilebhisi futhi ingasetshenziswa yizingane ezineminyaka engu-4 nangaphezulu.
| Umehluko omkhulu phakathi kukaDelsym noRobitussin | ||
|---|---|---|
| UDelsym | URobitussin | |
| Isigaba sezidakamizwa | I-non-opioid antitussive | I-non-opioid antitussive |
| Isimo somkhiqizo / ejwayelekile | I-Brand ne-generic iyatholakala | I-Brand ne-generic iyatholakala |
| Ngubani igama elijwayelekile? | I-Dextromethorphan | I-Dextromethorphan |
| Izidakamizwa zingena ngaziphi izinhlobo? | Ukumiswa kokukhishwa okunwetshiwe | Ukumiswa kokukhishwa okunwetshiwe |
| Uyini umthamo ojwayelekile? | 10 ml (60 mg) njalo emahoreni ayi-12 | 10 ml (60 mg) njalo emahoreni ayi-12 |
| Yelashwa isikhathi esingakanani? | Ngaphansi kwesonto elilodwa | Ngaphansi kwesonto elilodwa |
| Ubani ovame ukusebenzisa umuthi? | Izingane ezineminyaka engu-4 nangaphezulu, abantu abadala | Izingane ezineminyaka engu-4 nangaphezulu, abantu abadala |
Izimo eziphathwe nguDelsym noRobitussin
UDelsym noRobitussin bakhonjisiwe ekukhululekeni kwesikhashana kokukhwehlela. Ziwusizo ikakhulukazi ekukhwehleleni okungakhiqizi okufana nomkhuhlane kanye ne-bronchitis.
I-Dextromethorphan, isithako esisebenzayo kumikhiqizo yegama lomkhiqizo iDelsym noRobitussin, isetshenziswa ngaphandle kwelebula ukwelapha isifo sezinzwa esibuhlungu sesifo sikashukela. I-Off-label yigama elibhekisa ekusebenziseni umuthi ngenhloso engavunyelwe ngokusemthethweni yi-Food and Drug Administration (FDA). I-Dextromethorphan ivimba ama-receptors e-N-methyl-D-aspartate (NMDA) ebuchosheni nakumgogodla. Ama-receptors e-NMDA adlala indima ebalulekile ekuboneni ubuhlungu, ikakhulukazi ubuhlungu besikhathi eside, obubuhlungu. Ngokuvimba lawa ma-receptors, i-dextromethorphan kucatshangwa ukuthi izosiza ukuthuthukisa ukulawulwa kobuhlungu. Ngomshini ofanayo, i-dextromethorphan ingakhuphula imiphumela ye-opioid ekukhululekeni kobuhlungu.
| Isimo | UDelsym | URobitussin |
| Khwehlela | Yebo | Yebo |
| I-neuropathy yesifo sikashukela ebuhlungu | Ngaphandle kwelebula | Ngaphandle kwelebula |
Ngabe iDelsym noma iRobitussin isebenza kangcono?
Njengoba kunikezwe ukuthi uDelsym noRobitussin bobabili bayindilinga efanayo ye-dextromethorphan polistirex, ukusebenza kwabo kahle kuqondakala kangcono uma kuqhathaniswa nezinye izinto ezinciphisa ukukhwehlela. Phakathi ku isifundo somtholampilo ngokuqhathanisa i-dextromethorphan ne-codeine, i-dextromethorphan ikhiqize izinga elifanayo lomtholampilo lokucindezela ukukhwehlela. Kulolu cwaningo, iziguli zibike ukwehla okukhulu kokuqina kokukhwehlela nge-dextromethorphan uma kuqhathaniswa ne-codeine. Njengoba kunikezwe ukuthi i-dextromethorphan akuyona i-opiate, futhi itholakala ngaphandle kwencwadi kadokotela, imikhiqizo equkethe i-dextromethorphan ngokuvamile ibhekwa njengokwelashwa komugqa wokuqala.
I-Journal of Family Practice ishicilelwe okutholakele leyo dextromethorphan ikhiqiza ukukhululeka okuphezulu kokukhwehlela uma kuqhathaniswa namanye amakhambi, kufaka phakathi ama-antihistamine, ama-decongestants, nama-expectorants. Ama-Expectorant angakhonjiswa ezigulini ezinesikhwehlela esimanzi, esikhiqizayo ukusiza ekwazi ukususa i-mucus kusuka emoyeni.
Imikhiqizo equkethe i-Dextromethorphan, efana no-Delsym noRobitussin, ithathwa kabanzi njengokhetho lokuqala ekucindezelweni kokukhwehlela. Uma ukukhwehlela kwakho kuhlala isikhathi eside noma kungakhululiwe yimithi yokukhwehlela yasesitolo, kufanele ufune usizo lwezempilo, ngoba kungaba uphawu lokuthi kunenqubo ebucayi eyenzekayo.
Ukuhlanganisa kanye nokuqhathanisa izindleko kweDelsym vs. Robitussin
I-Delsym neRobitussin ziyatholakala ngaphandle kwemithi kadokotela, ngakho-ke ngokuvamile azihlanganiswa nomshuwalense wezentengiso noma izinhlelo zeMedicare.
I-Delsym ingabiza imali engange- $ 15 uma ithengwa e-the-counter, kepha uma umhlinzeki wakho wezokunakekelwa kwempilo ebhala incwadi kadokotela futhi usebenzisa isigqebhezana sokonga se-SingleCare, ungakhokha imali engange- $ 6 ekhemisi elibambe iqhaza.
Ngokufanayo, uRobitussin angabiza ngaphezu kuka- $ 16 uma ethengwa ngaphandle kwencwadi kadokotela, kepha isigqebhezana sakho sokulondolozwa kwe-SingleCare sizokwehlisa size sifike ku- $ 6 ngomuthi kadokotela emakhemisi abambe iqhaza.
| UDelsym | URobitussin | |
| Ngokuvamile embozwe umshwalense? | Akunjalo | Akunjalo |
| Imbozwe ngokujwayelekile yi-Medicare Part D? | Akunjalo | Akunjalo |
| Umthamo ojwayelekile | 3 oz (90 ml) | 3 oz (90 ml) |
| I-Medicare copay ejwayelekile | n / a | n / a |
| Izindleko ze-SingleCare | $ 6- $ 11 | $ 6- $ 11 |
Imiphumela emibi ejwayelekile kaDelsym noRobitussin
UDelsym noRobitussin banephrofayili efanayo yemiphumela emibi ngenxa yokuthi bangamakhompiyutha asebenza isikhathi eside we-dextromethorphan. Imiphumela emibi nemicimbi emibi ivame ukukhawulwa futhi imnene kakhulu. Kungabandakanya isiyezi, ukukhathala, nokozela. Iziguli eziphikisana ne-dextromethorphan noma esinye isithako ekumisweni zingathola ukuqubuka, noma ezimweni ezimbi kakhulu, ukusabela okweqile kwe-anaphylactic.
Kuke kwaba nemibiko yokuhlukunyezwa kwe-dextromethorphan equkethe imikhiqizo ebandayo, ikakhulukazi ngokuhlanganiswa nemikhiqizo ye-opioid. Lokhu kucatshangwa ukuthi kungenxa yamandla ayo okwandisa umkhawulo wokubekezelelana kwama-opioid. Ezingeni eliphakeme kunelinconyiwe, i-dextromethorphan ingaveza imiphumela emibi ye-serotonergic efana ne-serotonin syndrome, isimo lapho umzimba une-serotonin yamahhala kakhulu khona. Izimpawu zalesi simo zifaka ukudideka, injabulo, ukungahlaliseki, ukucasuka, isicanucanu nokuhlanza. I-Delsym neRobitussin kufanele zisetshenziswe kuphela ngokuya ngokuyalelwa kwelebuli yephakeji nangeseluleko somhlinzeki wakho wezokunakekelwa kwempilo.
| UDelsym | URobitussin | |||
| Umphumela oseceleni | Kusebenza? | Imvamisa | Kusebenza? | Imvamisa |
| Isiyezi | Yebo | Akuchaziwe | Yebo | Akuchaziwe |
| Ukukhathala | Yebo | Akuchaziwe | Yebo | Akuchaziwe |
| Ukozela | Yebo | Akuchaziwe | Yebo | Akuchaziwe |
| Ukudideka | Yebo | Akuchaziwe | Yebo | Akuchaziwe |
| Injabulo | Yebo | Akuchaziwe | Yebo | Akuchaziwe |
| Ukwesaba | Yebo | Akuchaziwe | Yebo | Akuchaziwe |
| Ukungahlaliseki | Yebo | Akuchaziwe | Yebo | Akuchaziwe |
| Ukuthukuthela | Yebo | Akuchaziwe | Yebo | Akuchaziwe |
| Isicanucanu | Yebo | Akuchaziwe | Yebo | Akuchaziwe |
| Ukuhlanza | Yebo | Akuchaziwe | Yebo | Akuchaziwe |
| Inkulumo eshisiwe | Yebo | Akuchaziwe | Yebo | Akuchaziwe |
Umthombo: UDelsym ( I-DailyMed I-Robitussin ( I-DailyMed )
Ukusebenzisana kwezidakamizwa kukaDelsym noRobitussin
UDelsym noRobitussin banephrofayili efanayo yokusebenzisana kwezidakamizwa banikezwe isithako sabo esifanayo. Le mithi kufanele igwenywe uma kungenzeka ezigulini ezithatha i-monoamine oxidase inhibitors (MAOIs). Ama-MAO afana ne-selegiline ne-linezolid angakhuphula amathuba e-serotonin syndrome uma esetshenziswa nezidakamizwa ezinomsebenzi we-serotonergic, njengemikhiqizo ye-dextromethorphan.
IMemantine, isidakamizwa esisetshenziswa ezigulini ezinokuwohloka komqondo kanye ne-Alzheimers, umphikisi we-NMDA njenge-dextromethorphan. Ukusetshenziswa ngasikhathi sinye kwale mithi kungaholela ezimpawu ezinjengokuxokozela nesiyezi. Iziguli ezinokuwohloka komqondo kanye ne-Alzheimers kungenzeka ukuthi sezivele zinenkambiso yokuthola lezi zimpawu, futhi inhlanganisela yezidakamizwa engazenza zibe zimbi lezi zimpawu kufanele igwenywe.
Uhlu olulandelayo aluhloselwe ukuba luhlu oluphelele lokusebenzisana kwezidakamizwa. Kungcono uthintane nodokotela wakho noma usokhemisi ukuthola uhlu oluphelele.
| Izidakamizwa | Isigaba sezidakamizwa | UDelsym | URobitussin |
| USelegiline Isocarboxazid I-Phenelzine I-Linezolid | I-Monoamine oxidase inhibitors (MAOIs) | Yebo | Yebo |
| I-Memantine | Umphikisi weNMDA | Yebo | Yebo |
| I-Fluoxetine I-Paroxetine Sertraline I-Citalopram I-Escitalopram | I-serotonin reuptake inhibitors ekhethiwe (SSRIs) | Yebo | Yebo |
| I-Venlafaxine I-Duloxetine I-Desvenlafaxine | I-norepinephrine reuptake inhibitors ekhethiwe (SNRIs) | Yebo | Yebo |
| I-Desipramine I-Protriptyline Amitriptyline I-Nortriptyline | I-Tricyclic antidepressants | Yebo | Yebo |
Izexwayiso zikaDelsym noRobitussin
UDelsym noRobitussin abakhonjisiwe ekwelapheni ukukhwehlela okungamahlalakhona. Uma ukhwehlela okuhlala isikhathi esingaphezu kwesonto elilodwa noma ukukhwehlela okuhambisana nomkhuhlane, ukuqubuka, noma isicanucanu nokuhlanza, lokhu kungaba yizimpawu zesimo esibi kakhulu. Kufanele uthintane nodokotela wezempilo ngokushesha.
I-Delsym neRobitussin ayinayo i-expectorant, umuthi ohloselwe ukuqeda i-phlegm ne-mucus ukuze ivumele ukusula imigwaqo yomoya. Uma ukukhwehlela kwakho kuqukethe inani elidlulele lalezi zinto, kufanele uthintane nomhlinzeki wakho wezokunakekelwa kwempilo. I-expectorant, efana neMucinex (guaifenesin), noma eminye imithi ingaqinisekiswa.
I-Dextromethorphan ixhunyaniswe nokudlula ngokweqile okubulalayo ezinganeni. I-FDA incoma ukuthi i-dextromethorphan, kanye nezinye izixazululo eziningi ezibandayo, kungasetshenziswa ezinganeni ezingaphansi kweminyaka eyisithupha.
Azikho izifundo ezilawulwa kahle ezenza ukuphepha kwabesifazane abakhulelwe, okuholele ekutheni i-FDA ihlukanise iDelsym neRobitussin njengesigaba sokukhulelwa C. Yize kungenzeka kube nokushintshwa okulinganiselwe kubisi lwebele, ngokuvamile kubhekwa njengokuphephile ukuthatha i-dextromethorphan ngenkathi uncelisa.
Ukusetshenziswa kwemikhiqizo ye-dextromethorphan ngemithamo ephezulu ukuthola imiphumela yezidakamizwa eziqukethe i-opiate kuyimbangela yokukhathazeka. Lokhu kungaba yiqiniso ikakhulukazi kubantu abadala.
Imibuzo ebuzwa njalo ngeDelsym vs. Robitussin
Yini iDelsym?
I-Delsym iyimithi yokunciphisa ukukhwehlela e-over-the-counter equkethe ukwakheka okusebenza isikhathi eside kwe-dextromethorphan. I-Delsym isetshenziselwa ukukhululeka kwesikhashana kokukhwehlela futhi isebenza engxenyeni yesistimu yezinzwa ephakathi eyaziwa ngokuthi i-medulla ukumisa i-reflex yokukhwehlela. Itholakala ezinambitheni zamagilebhisi nezolintshi ku-3 oz. kanye no-5 oz. usayizi wephakheji.
Kuyini uRobitussin?
URobitussin futhi ungumuthi wokucindezela ukukhwehlela okweqile okuqukethe ukwakheka kwesikhathi eside kwe-dextromethorphan. URobitussin usetshenziselwa ukuqeda ukukhwehlela okwesikhashana, futhi njengeDelysm isebenza engxenyeni yesistimu yezinzwa eyaziwa ngokuthi yi-medulla yokumisa ukukhwehlela kokukhwehlela. Iyatholakala nakuma-flavour wamagilebhisi nawolintshi ku-3 no-5 oz. osayizi.
Ngabe uDelsym noRobitussin bayafana?
I-Delsym neRobitussin 12-Hour Cough zombili ziyiminyaka engu-12 ukumiswa kokumiswa kokukhwehlela kokukhwehlela okuqukethe i-dextromethorphan polistirex complex ekugxileni kwe-30 mg / 5 ml. Bobabili uDelsym noRobitussin bangabomndeni wokunye ukukhwehlela nemikhiqizo ebandayo esebenzisa igama elifanayo eliholayo lokuhweba kepha yehlukile kuzithako.
Ngabe iDelsym noma iRobitussin ingcono?
UDelsym noRobitussin bobabili bayasebenza ekunciphiseni ukukhwehlela kwesikhashana okubangelwa izinqubo ezinzima ezifana nomkhuhlane ovamile. Zincanyelwa ukwakheka kokuhlinzekwa okususelwa kukhodiine ngoba akunayo i-opioid futhi kutholakala ngaphandle kwencwadi kadokotela. Imikhiqizo ye-Dextromethorphan ikhonjisiwe ukuthi iphakeme kuneminye imikhiqizo ye-OTC njengama-expectorants, ama-decongestants, nama-antihistamine ekulawuleni ukukhwehlela.
Ngingayisebenzisa iDelsym noma iRobitussin ngikhulelwe?
UDelsym noRobitussin babhekwa njengesigaba C sokukhulelwa yi-FDA, okusho ukuthi abukho ubufakazi obanele bokusungula ukuphepha okusetshenziselwa abesifazane abakhulelwe. Abesifazane abakhulelwe kufanele bafune izeluleko zochwepheshe babo bezokunakekelwa kwezempilo futhi kufanele basebenzise le mikhiqizo kuphela lapho inzuzo idlula ubungozi.
Ngingasebenzisa i-Delsym noma iRobitussin ngotshwala?
UDelsym noRobitussin bobabili bangamafomula angenalo utshwala. Kodwa-ke, ngenxa yamandla abo okubanga ukudideka, ukozela, neminye imiphumela emibi yohlelo lwezinzwa engabangelwa utshwala, ukusetshenziswa kwabo ngasikhathi sinye notshwala kufanele kugwenywe.
Yikuphi ukucindezela ukukhwehlela okuphumelela kakhulu?
Ngenkathi izindlela eziningi zisetshenziselwa ukunciphisa ukwenzeka kokukhwehlela, kufaka phakathi ukusetshenziswa kwama-expectorants, ama-decongestants, nama-antihistamine, I-American College of Chest Odokotela incoma ukuthi ama-ejenti acindezela ukukhwehlela njenge-dextromethorphan noma i-codeine-based prescription formulations aphakeme futhi kufanele abe ukwelashwa komugqa wokuqala wokukhwehlela kwesikhashana.
Yikuphi uRobitussin okungcono kakhulu ukukhwehlela?
I-Robitussin 12-Hour iyisinqumo esingcono kakhulu sesikhwehlela esomile, esingakhiqizi njengoba sinikeza iwindi elide lokukhululeka uma kuqhathaniswa nezinye izindlela ze-dextromethorphan. Ukukhwehlela okumanzi, okukhiqizayo kungadinga i-expectorant, lapho-ke i-Robitussin DM, kungaba yindlela engcono kakhulu. I-Robitussin DM iyinhlanganisela ye-dextromethorphan ne-guaifenesin, i-expectorant esiza ukuqhekeza amafinyila, okwenza kube lula ukusula ezindleleni zomoya.
Ingabe iRobitussin ikwenza uyeke ukukhwehlela?
Ngenkathi uRobitussin engeke ayeke ukukhwehlela kwakho ngokuphelele, izenzo ze-dextromethorphan esikhungweni sokukhwehlela sobuchopho bakho kulindeleke ukuthi zinciphise kakhulu imvamisa yokukhwehlela kwakho. Ukukhwehlela okunganciphi ngemithi yokukhwehlela, noma ukukhwehlela okuhlala isikhathi esingaphezu kwesonto elilodwa, kungaba uphawu lwesimo esibi kakhulu.
