I-Effexor vs. Wellbutrin: 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-Effexor (venlafaxine) ne-Wellbutrin (bupropion) yimithi emibili ehlukene yokulwa nengcindezi engasetshenziswa ukwelapha ukudangala. Kokubili i-Effexor ne-Wellbutrin isebenza ngokwandisa ama-neurotransmitter athile, njenge-norepinephrine ne-dopamine, ebuchosheni. Ukulinganisa la ma-neurotransmitters kungasiza ekuthuthukiseni imizwa, kukhuthaze ukulala okungcono, futhi kukhulise isifiso sakho sokudla nokugxila. Ama-anti-depressants nawo ayasebenziseka ekwelapheni ezinye izinkinga zempilo yengqondo ngaphezu kokudangala okukhulu.
Yize zifana, i-Effexor ne-Wellbutrin zisebenza ngokuhlukile futhi zivunyelwe i-FDA ukwelapha izimo ezahlukahlukene.
Uyini umehluko omkhulu phakathi kwe-Effexor ne-Wellbutrin?
I-Effexor igama lomkhiqizo le-venlafaxine. Kuyinto yamakhemikhali kufana noPristiq (desvenlafaxine) futhi ingeyesigaba sezidakamizwa esibizwa nge-serotonin-norepinephrine reuptake inhibitors (SNRIs). I-Effexor isebenza ngokuvimba ukubuyiselwa kabusha kwe-serotonin, i-norepinephrine, ne-dopamine ebuchosheni. Ukuvimba ukubuyiselwa kwabo kabusha, noma ukuphinda kuthathwe, kukhulisa ukutholakala kwabo kanye nemiphumela iyonke.
Igama lomkhiqizo i-Effexor kumathebulethi akhishwa ngokushesha linqanyuliwe. Esikhundleni salokho kunqunywa ifomu lokukhishwa okunwetshiwe elibizwa nge-Effexor XR. I-Effexor XR iza ngamandla we-37.5 mg, 75 mg, no-150 mg.
I-Wellbutrin igama lomkhiqizo le-bupropion. I-anti-depressant eyingqayizivele ehlukaniswe njenge-aminoketone. I-Wellbutrin kukholakala ukuthi isebenza ngokuvimba ukutholwa kabusha kwe-norepinephrine kanye ne-dopamine neurotransmitters ukukhulisa imiphumela yayo. Ngokungafani ne-Effexor, iWellbutrin ayishintshi amazinga e-serotonin kakhulu.
I-Wellbutrin iza ngamaphilisi omlomo akhululwa ngokushesha ngamandla we-75 mg noma i-100 mg. Kodwa-ke, kuvame ukunikezwa njengethebhulethi ekhishwa eqhubekayo (Wellbutrin SR) noma ithebhulethi ekhishwa enwetshiwe (Wellbutrin XL). I-Wellbutrin SR ne-Wellbutrin XL zikhishwa kancane kancane emzimbeni futhi zingathathwa kanye ngosuku.
Umehluko omkhulu phakathi kwe-Effexor ne-Wellbutrin | ||
---|---|---|
I-Effexor | I-Wellbutrin | |
Isigaba sezidakamizwa | I-Serotonin-norepinephrine reuptake inhibitors (SNRIs) | Aminoketone |
Isimo somkhiqizo / ejwayelekile | Uhlobo lomkhiqizo nolwejwayelekile luyatholakala | Uhlobo lomkhiqizo nolwejwayelekile luyatholakala |
Ngubani igama elijwayelekile? | I-Venlafaxine | I-Bupropion |
Izidakamizwa zingena ngaziphi izinhlobo? | Ithebhulethi yomlomo | Ithebhulethi yomlomo |
Uyini umthamo ojwayelekile? | Ekuqaleni, 75 mg ngosuku. Isilinganiso singakhuphuka ngama-75 mg ngosuku njalo ezinsukwini ezine. Isikali akufanele seqe umkhawulo ka-225 mg ngosuku ngemithamo ehlukanisiwe. | Ekuqaleni, i-100 mg kabili ngosuku. Ngemuva kwezinsuku ezi-3, umthamo ungakhuphukela kuma-100 mg ama-3 ama-3 nsuku zonke. Umthamo akufanele weqe umthamo owodwa ka-150 mg ngasikhathi. |
Yelashwa isikhathi esingakanani? | Ukwelashwa kwesikhathi eside | Ukwelashwa kwesikhathi eside |
Ubani ovame ukusebenzisa umuthi? | Abantu abadala abaneminyaka engu-18 nangaphezulu | Abantu abadala abaneminyaka engu-18 nangaphezulu |
Izimo eziphathwe yi-Effexor ne-Wellbutrin
I-Effexor ifakwe ilebuli yokwelapha ukudangala okukhulu noma ukucindezeleka okukhulu. Ingaphatha nezinkinga zokukhathazeka, phakathi kwezinye izimo zempilo yengqondo. I-venlafaxine ekhishwa ngokushesha ingasiza ekwelapheni ukwethuka ngenkathi ifomu lokukhishwa okunwetshiwe livunyelwe ukwelashwa ukukhathazeka okujwayelekile . Ukusetshenziswa okungekho kwelebula kwe-Effexor kufaka phakathi ukwelashwa kokuphazamiseka okucindezelayo (OCD) kanye ne-premenstrual dysphoric disorder (PMDD).
I-Wellbutrin ivunyiwe yi-FDA ukwelapha ukuphazamiseka okukhulu kokudangala kanye nokuphazamiseka kwonyaka. Kwesinye isikhathi kuyasetshenziswa njengesidakamizwa esingekho kwelebuli ukwelapha ukuphazamiseka kwengqondo okuguquguqukayo, ukunakekelwa kokushoda kokungasebenzi (ADHD), kanye nokungasebenzi kahle ngokocansi okubangelwa yi-SSRI antidepressants.
Isimo | I-Effexor | I-Wellbutrin |
Ukucindezeleka okukhulu | Yebo | Yebo |
Isifo sokukhathazeka esijwayelekile | Yebo | Akunjalo |
Ukuphazamiseka kovalo | Yebo | Akunjalo |
Ukuphazamiseka okubangelwa ukucindezela | Ngaphandle kwelebula | Akunjalo |
Ukuphazamiseka kwangaphambi kokuya esikhathini | Ngaphandle kwelebula | Akunjalo |
Ukuphazamiseka kwe-bipolar | Ngaphandle kwelebula | Ngaphandle kwelebula |
Ukunakwa kokushoda kokungasebenzi kahle (ADHD) | Ngaphandle kwelebula | Ngaphandle kwelebula |
Ukuphazamiseka kwesizini | Ngaphandle kwelebula | Yebo |
Ingabe i-Effexor noma i-Wellbutrin isebenza kangcono?
I-Effexor ne-Wellbutrin yimithi ephumelelayo yokwelapha izimpawu zokucindezeleka. Kodwa-ke, i-anti-depressant esebenza kangcono yiyona esebenza kangcono kuwe.
Ngokuya nge- ukuhlaziywa kwe-meta , I-Effexor ne-Wellbutrin ziyasebenza ngendlela efanayo ekwelapheni abantu abadala abanenkinga enkulu yokudangala. Yize bobabili basebenza ngokufanayo, iWellbutrin ikhonjisiwe ukuthi ikhiqiza ukungasebenzi kahle kocansi njengomphumela wecala. Ukungasebenzi ngokocansi kungumphumela ojwayelekile we-anti-depressants, ikakhulukazi i-serotonin reuptake inhibitors ekhethiwe (SSRIs).
I-Wellbutrin ne-Effexor nazo ziye zafaniswa ne-SSRI antidepressants efana ne-sertraline, i-escitalopram, i-fluoxetine, i-paroxetine, ne-duloxetine. Ukuhlolwa kwemitholampilo kubonisile ukuthi i-Wellbutrin ifana nokusebenza kuma-SSRI. Ngakolunye uhlangothi, i-Effexor ibilokhu ikhona kutholakale kusebenza kangcono kunama-SSRI, noma ngabe abantu abaningi bangayeka ukuthatha i-Effexor ngenxa yemiphumela emibi.
Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ukuze uthole ukwelashwa okungcono kakhulu. Ngemuva kokuhlolwa okuphelele kwezimpawu zakho zonke, udokotela wakho uzosebenzisana nawe ukuthola umuthi ofanele.
Ukuqhathaniswa nokuqhathaniswa kwezindleko kwe-Effexor vs.Wellbutrin
I-Effexor XR idinga incwadi kadokotela. Imvamisa imbozwa yizinhlelo eziningi zeMedicare nezomshuwalense. Ngokunikezwa kwezinsuku ezingama-30 kwamaphilisi angama-75 mg, izindleko ezijwayelekile zokuthengisa cishe zingama- $ 146. Ukusebenzisa ikhadi le-Effexor XR SingleCare kungehlisa le ntengo ifike ku- $ 15 kuya ngekhemisi oyisebenzisayo.
Udokotela wakho kungenzeka anikeze i-Wellbutrin SR noma i-Wellbutrin XL. Lezi zinguqulo ze-Wellbutrin zikhipha umuthi kancane kancane emzimbeni. Iningi le-Medicare nezinhlelo zomshuwalense zizohlanganisa i-Wellbutrin XL noma i-Wellbutrin SR. Uma ungenawo umshwalense, intengo yemali ejwayelekile ye-Wellbutrin ingaba ngaphezu kwe- $ 100. Noma ngabe unomshuwalense, ungasebenzisa ikhadi le-Wellbutrin XL SingleCare noma ikhadi le-Wellbutrin SR SingleCare ukonga imali kudokotela wakho.
I-Effexor | I-Wellbutrin | |
Ngokuvamile embozwe umshwalense? | Yebo | Yebo |
Imbozwe ngokujwayelekile yi-Medicare Part D? | Yebo | Yebo |
Umthamo ojwayelekile | I-Effexor XR: amaphilisi angama-75 mg kanye ngosuku (inani lama-30) | I-Wellbutrin SR / XL: 150 mg kanye ngosuku (inani lama-30) |
I-Medicare copay ejwayelekile | $ 0– $ 1 | $ 0– $ 22 |
Izindleko ze-SingleCare | $ 15 + | $ 11 + |
Imiphumela emibi ejwayelekile ye-Effexor vs. Wellbutrin
Imiphumela emibi kakhulu ye-Effexor ukozela, ukuqwasha, isiyezi, ukwethuka, isicanucanu, nekhanda. Eminye imiphumela emibi ejwayelekile ifaka phakathi umlomo owomile, ubuthakathaka bemisipha, ukujuluka, nokukhuphuka kwenhliziyo (ukushaya kwenhliziyo). Imiphumela emibi yezocansi , kufaka phakathi ukungasebenzi ngocansi nokujula okungajwayelekile, nakho kuvamile ngenkathi usebenzisa i-Effexor.
Imiphumela emibi ejwayelekile yeWellbutrin ukuqwasha, isiyezi, umlomo owomile, isicanucanu, ikhanda nokujuluka. I-Wellbutrin nayo ingadala ukwethuka, ubuthakathaka bemisipha, nokushaya ngamandla, phakathi kweminye imiphumela emibi.
I-Effexor ne-Wellbutrin nayo ingadala ushintsho kusisindo. Kokubili i-anti-depressants kungadala ukuzuza kwesisindo noma ukwehla kwesisindo kuye ngempendulo yakho kulowo muthi.
Imiphumela emibi ye-Effexor ne-Wellbutrin ifaka phakathi izinkinga ezintsha zempilo yengqondo ezintsha noma ezimbi kakhulu, imicabango yokuzibulala, ukukhathazeka nobutha. Bheka noma yiluphi ushintsho emizweni ngenkathi uthatha le mithi. Xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo uma uhlangabezana nanoma yimiphi imiphumela emibi kakhulu.
I-Effexor | I-Wellbutrin | |||
Umphumela oseceleni | Kusebenza? | Imvamisa | Kusebenza? | Imvamisa |
Ukozela | Yebo | 3% | Akunjalo | - |
Ukuqwasha | Yebo | 3% | Yebo | 19% |
Isiyezi | Yebo | 3% | Yebo | 22% |
Ukwesaba | Yebo | amaphesenti amabili | Yebo | 3.1% |
Umlomo owomile | Yebo | amaphesenti amabili | Yebo | 28% |
Isicanucanu | Yebo | 6% | Yebo | 2. 3% |
Ubuhlungu bekhanda | Yebo | 3% | Yebo | 26% |
Ubuthakathaka bemisipha | Yebo | amaphesenti amabili | Yebo | * |
Ukushaya kancane | Yebo | * | Yebo | 4% |
Ukujuluka | Yebo | amaphesenti amabili | Yebo | 22% |
Ukujula okungavamile | Yebo | 3% | Akunjalo | - |
* akubikiwe
Ukuvama akususelwa kudatha evela esivivinyweni sekhanda kuya ekhanda. Lokhu kungenzeka kungabi uhlu oluphelele lwemiphumela emibi engenzeka. Sicela ubheke udokotela wakho noma umhlinzeki wezokunakekelwa kwempilo ukuze ufunde kabanzi.
Umthombo: Ilebuli ye-FDA ( I-Effexor ), Ilebuli ye-FDA ( I-Wellbutrin )
Ukusebenzisana kwezidakamizwa kwe-Effexor vs. Wellbutrin
I-Effexor ne-Wellbutrin zingasebenzisana ne-monoamine oxidase inhibitors (MAOIs). Ukuthatha i-MAOI, njenge-isocarboxazid noma i-phenelzine, ne-Effexor noma i-Wellbutrin kungakhuphula ubungozi be-serotonin syndrome. I-Effexor ne-Wellbutrin akufanele zithathwe nge-MAOI noma kungakapheli izinsuku eziyi-14 kumiswe i-MAOI.
I-Effexor ne-Wellbutrin zingasebenzisana nezidakamizwa ze-serotonergic. Isibonelo, ukuthatha isidakamizwa se-serotonergic njenge-nortriptyline, i-tricyclic antidepressant, kungakhuphula ubungozi be-serotonin syndrome lapho kuhlanganiswa nenye i-anti-depressant. I-Effexor ne-Wellbutrin kufanele futhi igwenywe nge-St. John's wort, umuthi wamakhambi osetshenziselwa imithelela yawo yokulwa nokudangala. Tshela udokotela wakho uma uthatha amanye ama-anti-depressants ngaphambi kokuqala i-Effexor noma i-Wellbutrin.
I-Effexor ne-Wellbutrin zingathinta imisebenzi yamaplatelets nokuvimba igazi. Ukusetshenziswa kwe-Effexor noma i-Wellbutrin kunganciphisa ukusebenza kwe-warfarin noma amanye ama-anticoagulants.
Izidakamizwa | Isigaba sezidakamizwa | I-Effexor | I-Wellbutrin |
Isocarboxazid I-Phenelzine USelegiline | I-Monoamine oxidase inhibitors (MAOIs) | Yebo | Yebo |
ILithium I-Nortriptyline Isibungu iSt | Izidakamizwa zeSerotonergic | Yebo | Yebo |
I-Warfarin | Ama-anticoagulants | Yebo | Yebo |
Thintana nochwepheshe wezokunakekelwa kwempilo mayelana nokunye ukuxhumana kwezidakamizwa okungenzeka.
Izexwayiso ze-Effexor ne-Wellbutrin
Ukusetshenziswa kwe-Effexor noma i-Wellbutrin kungaholela engcupheni eyandayo yemicabango yokuzibulala, ikakhulukazi kwabasakhulayo nasebancane. Izinguquko zokuziphatha nezemizwa kufanele zibhekwe lapho uqala umuthi ofana ne-Effexor noma i-Wellbutrin. Uma uhlangabezana nezinguquko ezinzima zokuziphatha, ama-anti-depressants angaqedwa noma ahlelwe ngumhlinzeki wakho wezokunakekelwa kwempilo.
I-Effexor ne-Wellbutrin ingakhuphula umfutho wegazi. Ngakho-ke, kubalulekile ukuqapha ukucindezelwa kwegazi ngenkathi uthatha le mithi. Xhumana nodokotela wakho uma unomlando we-high blood pressure ngaphambi kokuthatha le mithi.
Amanye ama-anti-depressants afana nama-SSRI nama-SNRI angandisa ingozi yokuphuma kwegazi. I-Effexor kufanele igwenywe ngama-anticoagulants nezinye izidakamizwa ezithinta ukujiya kwegazi. I-Wellbutrin, engeyona i-SSRI noma i-SNRI, eyiyo mancane amathuba okuthi kuthinte imisebenzi yeplatelet .
Uma isetshenziswa ngezidakamizwa ze-serotonergic, i-Effexor ne-Wellbutrin ingakhuphula ubungozi be-serotonin syndrome. Izimpawu ze-serotonin syndrome zifaka phakathi ukukhuphuka kwenhliziyo, umfutho wegazi owandayo nomkhuhlane. Xhumana nodokotela wakho uma uhlangabezana nalezi zimpawu. I-Serotonin syndrome ingadinga usizo oluphuthumayo lwezokwelapha.
Imibuzo ebuzwa njalo mayelana ne-Effexor vs. Wellbutrin
Kuyini i-Effexor?
I-Effexor umuthi wegama lomkhiqizo osetshenziselwa ukwelapha ukuphazamiseka kwengqondo okukhulu. Igama elijwayelekile le-Effexor yi-venlafaxine. I-Effexor XR inguqulo ekhishwe isikhathi eside ye-Effexor futhi ingathathwa kanye nsuku zonke. I-Effexor nayo ingaphatha ukukhathazeka nokuphazamiseka kokukhathazeka.
Kuyini iWellbutrin?
I-Wellbutrin yaziwa ngegama layo elijwayelekile elithi bupropion. Isetshenziselwa ukwelapha ukucindezeleka okukhulu. I-Wellbutrin ivame ukunikezwa njenge-Wellbutrin SR noma i-Wellbutrin XL yokwelapha ukucindezeleka nezinye izimo zempilo yengqondo. Ifomu lokukhishwa okunwetshiwe leWellbutrin lingathathwa kanye nsuku zonke.
Ngabe i-Effexor neWellbutrin ziyefana?
Kokubili i-Effexor ne-Wellbutrin zingelapha izimpawu zokucindezeleka. Kodwa-ke, i-Effexor iyi-serotonin-norepinephrine reuptake inhibitor (SNRI) kanti i-Wellbutrin iyi-aminoketone. Ngakho-ke, le mithi isebenza ngezindlela ezahlukene. Futhi zinokusetshenziswa okwehlukile okuvunyelwe yi-FDA.
Ngabe i-Effexor noma i-Wellbutrin ingcono?
I-Effexor ne-Wellbutrin yizidakamizwa eziphumelelayo ezelapha ukucindezeleka. I-Effexor ingcono kune-Wellbutrin yokwelapha iziyaluyalu zokukhathazeka ezinokuhlangabezana nokucindezeleka. Kodwa-ke, uma kuqhathaniswa ne-Wellbutrin, i-Effexor ingadala imiphumela emibi kakhulu yezocansi, njengokuchama okungajwayelekile nokungabi namandla.
Ngingayisebenzisa i-Effexor noma i-Wellbutrin ngenkathi ngikhulelwe?
I-Effexor ne-Wellbutrin basesigabeni sokukhulelwa uC futhi bangakhuphula ubungozi bokukhubazeka kokuzalwa. Yomibili le mithi nayo ifihlwa obisini lwebele. Ukusetshenziswa kwe-Effexor ne-Wellbutrin kufanele kuxwayiswe noma kugwenywe ngesikhathi sokukhulelwa.
Ngingayisebenzisa i-Effexor noma i-Wellbutrin ngotshwala?
Akunconyelwa ukuphuza utshwala ngenkathi uthatha i-Effexor noma i-Wellbutrin. Ukusetshenziswa kotshwala ne-Effexor noma i-Wellbutrin kungaholela ekwandeni ukozela, isiyezi, neminye imiphumela emibi. Ukusetshenziswa kotshwala nakho kungakhuphula ubungozi bokuquleka kubantu abathatha iWellbutrin.