I-Dymista vs. Flonase: umehluko, ukufana, futhi 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, ukuthimula, ikhala eligijimayo (noma isiminyaminya samakhala), amehlo alumayo namanzi, awu! Njalo ngonyaka, abantu baseMelika abangaphezu kwezigidi ezingama-50 bahlushwa yilezi zimpawu zokungezwani komzimba. Kungakhathaza ukunquma ukuthi imiphi imithi oyisebenzisela ukwelapha izimpawu zakho.
I-Dymista neFlonase (i-fluticasone propionate) yimithi esetshenziselwa ukwelapha izimpawu zokungezwani komzimba ezinganeni nakubantu abadala. I-Dymista ngumuthi ohlangene oqukethe kokubili i-antihistamine ne-steroid (i-corticosteroid), kanti i-Flonase iqukethe i-steroid kuphela. Ngenkathi i-Dymista itholakala ngegama lomkhiqizo kuphela, i-Flonase itholakala ngemithi kadokotela ngendlela ejwayelekile, nangaphezulu kwekhawunta (i-OTC) ngegama lomkhiqizo kanye nangendlela ejwayelekile. Ngenkathi bobabili belapha ukungezwani komzimba, kukhona umehluko emithini emibili.
Uyini umehluko omkhulu phakathi kweDymista neFlonase?
I-Dymista (Yini i-Dymista?) Iqukethe imishanguzo emibili, i-azelastine hydrochloride (i-antihistamine) ne-fluticasone propionate (i-steroid). I-Dymista ikhonjiswa ukuthi yelapha i-rhinitis eyaliwa yisizini ezigulini ezineminyaka eyisithupha nangaphezulu ezidinga ukwelashwa ngazo zombili i-azelastine ne-fluticasone ukukhulula izimpawu. Okwamanje itholakala ngegama lomkhiqizo kuphela, nangemithi kadokotela kuphela. I-actuation ngayinye (isifutho esisodwa) iqukethe i-50 mcg ye-fluticasone kanye ne-137 mcg ye-azelastine.
I-Flonase (Yini i-Flonase?) Iyi-nasal steroid futhi iqukethe i-fluticasone propionate. Kuboniswa ekuphathweni kwe-perennial nonallergic rhinitis (izimpawu ezingapheli zokudonswa kwangemva kokubeletha, ukuvuza noma ikhala eligcwele, ukuthimula) izimpawu kubantu abadala nasezinganeni ezineminyaka emine nangaphezulu. Itholakala ngendlela ejwayelekile ngomuthi kadokotela, nangaphezulu kwekhawunta kuzo zombili izinhlobo (njengeFlonase Sensimist, i-Children's Flonase Sensimist, ne-Children's Flonase Allergy Relief) nefomu elejwayelekile. I-actuation ngayinye (isifutho esisodwa) iqukethe i-50 mcg ye-fluticasone.
| Umehluko omkhulu phakathi kweDymista neFlonase | ||
|---|---|---|
| Dymista | UFlonase | |
| Isigaba sezidakamizwa | Umphikisi we-H1 receptor (antihistamine) kanye ne-corticosteroid | ICorticosteroid |
| Isimo somkhiqizo / ejwayelekile | Umkhiqizo kuphela | I-Rx: ejwayelekile I-OTC: brand kanye generic |
| Igama Elijwayelekile | I-Azelastine hydrochloride ne-fluticasone propionate | I-Fluticasone propionate |
| Isikali Ifomu | Isifutho sekhala | Isifutho sekhala |
| Umthamo ojwayelekile | Futha 1 ekhaleni ngalinye kabili ngosuku | Abantu abadala: 2 izifutho ekhaleni ngalinye nsuku zonke Intsha nezingane ezine eminyakeni engu-4 nangaphezulu: 1 fafaza ekhaleni ngalinye nsuku zonke |
| Isikhathi sokwelashwa | Iyahlukahluka ngezimpawu | Iyahlukahluka ngezimpawu |
| Kusetshenziswe ngu- | Izingane ezineminyaka engu-6 nangaphezulu, abadala | Izingane ezineminyaka engu-4 nangaphezulu, abadala |
Ufuna intengo engcono ku-Dymista?
Bhalisela izexwayiso zentengo yeDymista bese uthola ukuthi intengo ishintsha nini!
Thola izexwayiso zentengo
Izimo eziphathwe nguDymista noFlonase
I-Dymista iboniswa ukukhululeka kwezimpawu ze-allergen rhinitis yonyaka ezigulini ezineminyaka eyisithupha nangaphezulu ezidinga ukwelashwa kwe-azelastine ne-fluticasone ukuze kutholakale izimpawu.
I-Flonase ikhonjiswa ezigulini ezineminyaka emine nangaphezulu ukuphathwa kwezimpawu zamakhala zangonyaka we-rhinitis ongapheli.
| Isimo | Dymista | UFlonase |
| Izimpawu ze-Nasal ze-rhinitis engapheli engapheli | Akunjalo | Yebo |
| I-rhinitis yesikhashana yokugula | Yebo | Akunjalo |
Ngabe iDymista noma iFlonase isebenza kangcono?
Phakathi ku isifundo somtholampilo yokuphepha nokusebenza kwe-Dymista kubantu abadala nasebusheni abaneminyaka engu-12 nangaphezulu, iDymista itholwe inethonya elikhulu ezimpawu zamakhala uma kuqhathaniswa nengxenye ngayinye (i-azelastine, i-fluticasone) iyodwa kanye ne-placebo.
Ku- ukuhlaziywa kwe-fluticasone nasal spray , iziguli ezivivinyweni ezimbili kwezintathu zithole ukwehla okukhulu kwezimpawu zamakhala uma kuqhathaniswa ne-placebo.
Ngokuvamile, i-Dymista noma i-Flonase ingasiza kakhulu ekulawuleni izimpawu. Umuthi osebenza kahle kakhulu kufanele unqunywe udokotela wakho ngokubheka isimo (s) sakho sezempilo nomlando wezokwelapha, kanye neminye imithi oyiphuzayo.
Ukuqhathaniswa kanye nezindleko zokuqhathaniswa kweDymista vs.Flonase
I-Dymista itholakala ngomuthi kadokotela ngegama lomkhiqizo kuphela. Izindleko ngaphandle komshuwalense cishe zingama- $ 231. Umshuwalense uvame ukumboza iDymista; Ama-copay azohluka kepha ungasebenzisa isigqebhezana se-SingleCare bese uthola iDymista cishe ngama- $ 183. I-Medicare Part D ngokuvamile ayihlanganisi iDymista.
Eminye imishwalense idinga ukugunyazwa kwangaphambili kwe-Dymista, futhi udokotela wakho kuzodingeka anikeze imininingwane ethe xaxa kumshuwalense wokuthi kungani uwudinga lo muthi. Uma umshwalense wakho ungamhlanganisi nhlobo u-Dymista noma usenqaba isicelo sokuqala sokugunyazwa, udokotela wakho esikhundleni salokho angabiza ngemiyalo ehlukile ye-Flonase (i-fluticasone) ne-Astepro (i-azelastine), okuyizinto ezimbili ze-Dymista, zombili ezitholakala ngojwayelekile, futhi kufanele imbozwe umshwalense.
I-Flonase itholakala ngemithi kadokotela efomeni ejwayelekile kuphela, ne-OTC ngohlobo noma ngokujwayelekile. Ungathenga igama lomuthi phezu kwekhawunta; imvamisa ayimboziwe ngumshuwalense noma i-Medicare Part D. Kodwa-ke, ungathola i-generic fluticasone propionate cishe yama- $ 17 ngokusebenzisa ikhadi lokonga le-SingleCare noma isigqebhezana.
| Dymista | UFlonase | |
| Ngokuvamile embozwe umshwalense? | Iyahluka; kungadinga ukugunyazwa kwangaphambili | Yebo, inguqulo kadokotela ejwayelekile |
| Imbozwe ngokujwayelekile yi-Medicare? | Hhayi njalo | Yebo, inguqulo kadokotela ejwayelekile |
| Umthamo ojwayelekile | Futha 1 ekhaleni ngalinye kabili ngosuku | Abantu abadala: 2 izifutho ekhaleni ngalinye nsuku zonke Izingane: 1 fafaza ekhaleni ngalinye nsuku zonke |
| I-Medicare copay ejwayelekile | $ 80-221 | $ 40-75 |
| Izindleko ze-SingleCare | $ 183 | $ 17 |
Imiphumela emibi ejwayelekile yeDymista neFlonase
Ngoba yomibili le mithi iqukethe i-fluticasone, imiphumela emibi engaba khona ye-Dymista ne-Flonase iyafana. Iziguli eziningi zibekezelela zombili lezi zidakamizwa kahle kakhulu; imiphumela emibi kakhulu ayivamile. Imiphumela emibi kakhulu yeFlonase yikhanda, umphimbo obuhlungu, ukuphuma kwamakhala, ukucasuka kwamakhala, isicanucanu / ukugabha, izimpawu zesifuba somoya nokukhwehlela. Imiphumela emibi kakhulu ye-Dymista ishintshe umqondo wokunambitha, ukuphuma kwamakhala, kanye nekhanda. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ukuthola uhlu oluphelele lwemiphumela emibi.
| Okuqhamuka uma udla imishanguzo | I-Dymista: Iyasebenza? | I-Dymista: Imvamisa | I-Flonase: Iyasebenza? | I-Flonase: Imvamisa |
| Ubuhlungu bekhanda | Yebo | amaphesenti amabili | Yebo | 16.1% |
| Umphimbo obuhlungu | Akunjalo | - | Yebo | 7.8% |
| Wakhala igazi | Yebo | amaphesenti amabili | Yebo | 6.9% |
| Ukucasuka kwamakhala | Akunjalo | - | Yebo | 3.2% |
| Isicanucanu / ukuhlanza | Akunjalo | - | Yebo | 2.6% |
| Umqondo oguquliwe wokunambitha | Yebo | 4% | Akunjalo | - |
Umthombo: I-DailyMed (Dymista) , I-DailyMed (Flonase)
Ukusebenzisana kwezidakamizwa kweDymista neFlonase
Ngoba yomibili le mithi iqukethe i-fluticasone, imiphumela emibi iyafana. Nge-desmopressin, esetshenziselwa ukumanzisa umbhede, ukusetshenziswa ngasikhathi sinye neFlonase noma iDymista kungaholela ekugcineni amanzi kanye namazinga aphansi e-sodium.
Yonke imithi efakwe kuhlu kuthebula elingezansi iyasebenzisana (nazo zombili i-Flonase ne-Dymista) ngendlela ekhulisa kakhulu amazinga e-steroid emzimbeni, okungakhuphula ubungozi bemiphumela emibi ye-steroid. Lokhu kungenxa ye-enzyme ebizwa nge-CYP3A4, ebandakanyeka ekusebenzisaneni okuningi kwezidakamizwa.
| Izidakamizwa | Isigaba sezidakamizwa | Dymista | UFlonase |
| INorvir (ritonavir), i-Invirase (saquinavir), i-Rescriptor (i-delavirdine), i-Crixivan (indinavir), njll. | Imithi ye-HIV / AIDS | Yebo | Yebo |
| I-DDAVP (desmopressin) | Imithi yokweluka embhedeni | Yebo | Yebo |
| I-Biaxin (i-clarithromycin) | Imithi elwa namagciwane | Yebo | Yebo |
| I-Nizoral (ketoconazole), i-Sporanox (itraconazole) | Ama-fungal | Yebo | Yebo |
Izexwayiso zikaDymista noFlonase
Izexwayiso zikaFlonase
Iziguli kufanele zihlolwe ngezikhathi ezithile ngemiphumela emibi kwi-mucosa yamakhala, njengama-nosebleeds, ukutheleleka kwe-fungal, kanye nokuphazamiseka kokulimala kwesilonda. I-Flonase akufanele isetshenziswe ezigulini ezinezilonda zamankanka zakamuva, ukuhlinzwa kwamakhala, noma ukuhlukunyezwa ngamakhala.
Ezinye izexwayiso okufanele uziqaphele:
- Iziguli ezibona ukuguqulwa kombono, iziguli ezinomlando wokukhuphuka kwengcindezi ye-intraocular, noma iziguli ezisebenzisa i-Flonase isikhathi eside kufanele zibone udokotela wamehlo ukuze ahlole i-glaucoma kanye ne-cataract.
- Ukusabela kwe-Hypersensitivity, njenge-anaphylaxis noma ukuqubuka, kubikiwe. I-Flonase kufanele imiswe uma kwenzeka le miphumela.
- Sebenzisa ngokuqapha ezigulini ezinesifo sofuba esivele sikhona; ukutheleleka kwefungal, bacterial, virus, noma parasitic; i-ocular herpes simplex, njengoba i-Flonase ingadala ukwanda kwesifo. Izimo ezibucayi noma ezibulalayo zenkukhu noma isimungumungwane zingenzeka ezigulini ezithintekayo.
- Iziguli kufanele zihlolwe ukucindezelwa kwe-adrenal. Lapho umzimba ungenzi i-hormone eyanele ye-steroid, izimpawu zingafaka ukukhathala, ubuthakathaka, isicanucanu, ukuhlanza, umfutho ophansi wegazi. I-Flonase kufanele iyekwe kancane uma izinguquko zenzeka.
- Ukuqapha ukukhula kweziguli ezingane ngenxa yokuthi kungenzeka kwehliswe ijubane lokukhula; sebenzisa umthamo ophansi kakhulu osebenzayo.
Ngenxa yokushoda kwedatha etholakalayo, i-Flonase kufanele isetshenziswe kuphela ku- ukukhulelwa noma ngenkathi ukuncelisa uma inzuzo kumama idlula ingozi enganeni. Xhumana ne-OB / GYN yakho ukuthola izeluleko.
Izexwayiso nge-Dymista
Ngoba iDymista iqukethe ne-fluticasone, etholakala e-Flonase, zonke izixwayiso ezingenhla ze-Flonase ziyasebenza naku-Dymista. Lezi zixwayiso ezilandelayo ziyasebenza, ngenxa yengxenye ye-azelastine ye-Dymista.
- I-Dymista ingadala ukozela; iziguli kufanele zisebenzise ukuqapha ngenkathi zishayela noma zisebenzisa imishini.
- Gwema utshwala noma okunye ukucindezela kwe-CNS nge-Dymista ngoba inhlanganisela ingadala ukukhubazeka futhi yehlise ukuqapha.
Umenzi uncoma ukusebenzisa i-Dymista kuphela ngesikhathi sokukhulelwa uma inzuzo ingaphezu kwengozi. Xhumana ne-OB / GYN yakho ukuthola isiqondiso. I-Dymista ayinconywa ngenkathi uncelisa; umenzi uncoma ukuthi kumiswe i-Dymista noma kumiswe ukuncelisa.
Imibuzo ebuzwa njalo ngeDymista vs. Flonase
Yini iDymista?
I-Dymista iyinhlanganisela yamakhambi isifutho esine-antihistamine ne-steroid yokusiza ukuqeda izimpawu zokungezwani komzimba nabantu abadala nezingane.
Kuyini uFlonase?
I-Flonase iyisifutho se-steroid nasal esisiza ukuphatha izimpawu zamankanka ze-perennial nonallergic rhinitis (izimpawu ezingapheli zokudonswa kwangemva kokubeletha, ukuvuza noma ikhala eligcwele, ukuthimula) kubantu abadala nasezinganeni.
Ngabe uDymista noFlonase bayafana?
Cha. I-Flonase iqukethe i-steroid fluticasone propionate; I-Dymista iqukethe i-fluticasone propionate kanye ne-antihistamine, i-azelastine.
Ngabe iDymista noma iFlonase ingcono?
Kuya ngezimpawu zakho; wonke umuntu wehlukile. Xhumana nochwepheshe wezokunakekelwa kwezempilo ukuthola izeluleko ezenziwe zaba ngezakho ngokuya ngomlando nezimpawu zakho zezokwelapha. Iningi labantu lenza kahle ngomunye wale mithi, noma omunye umuthi ofana ne-Nasonex (mometasone) noma i-Nasacort (i-triamcinolone).
Kufanele usebenzise isikhathi esingakanani i-Dymista nasal spray?
Ubude bokwelashwa buyehluka ngezimpawu kanye nangemiphumela engemihle. Xhumana nodokotela wakho ukuthola iseluleko.
Ungakwazi yini ukusebenzisa uFlonase noDymista ndawonye?
Ngokuvamile, le mithi ayisetshenziswa ndawonye. Enye noma enye ibinganela.
Yini imiphumela emibi yokusebenzisa isikhathi eside i-antihistamine?
I-Dymista, equkethe i-antihistamine azelastine, ikhonjiswe njengeyiyo kubekezelelwe kahle ngemuva konyaka owodwa wokusetshenziswa. Ukuvunyelwa kwe-FDA kweDymista kwakususelwa ku- idatha yokuphepha yesikhathi eside . Imiphumela emibi ejwayelekile iguqulwe umuzwa wokunambitha, ukopha ngamakhala, nekhanda. Xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo mayelana nesikhathi esifanele sokwelashwa kwakho.
Khumbula, umuthi osebenza kahle kakhulu kufanele unqunywe udokotela wakho kuphela ozobheka isithombe sonke sesimo (se) sakho sezempilo, umlando wezempilo, neminye imithi engasebenzisana noFlonase noma uDymista.











