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

I-Effexor vs. Zoloft: Umehluko, ukufana, nokuthi yikuphi okungcono kuwe

Izidakamizwa Vs. Umngani

I-Effexor ne-Zoloft yimithi emibili edumile ekhonjiswe ekwelapheni ukucindezeleka, okuvamile impilo yengqondo condition, phakathi kwezinye izimo. Yomibili imishanguzo kadokotela ivunywa yi-United States Food and Drug Administration (FDA).

I-Effexor iyingxenye yeqembu lemithi ebizwa nge-SNRIs (serotonin-norepinephrine reuptake inhibitors). Ama-SNRI akhulisa amazinga e-serotonin ne-norepinephrine ebuchosheni.

I-Zoloft (i-sertraline) iyi-SSRI (i-serotonin reuptake inhibitor ekhethiwe). I-SSRI isebenza ngokwanda kwamazinga e-serotonin ebuchosheni.

Ukwelashwa nge-Effexor noma iZoloft kuvame ukuhambisana nokwelashwa kwengqondo nodokotela wezengqondo noma udokotela wezifo zengqondo. Yize i-Effexor neZoloft kuyizidambisi ezithandwayo zokulwa nokucindezelwa, azifani. Qhubeka ufunde ukuze ufunde kabanzi ngemithi yomibili.

Uyini umehluko omkhulu phakathi kwe-Effexor neZoloft?

I-Effexor iyi-anti-depressant ye-SNRI futhi itholakala ngohlobo (njenge-Effexor XR) nefomu elejwayelekile. Igama elijwayelekile i-venlafaxine. I-Effexor iyatholakala ngefomu lethebulethi, futhi njenge-capsule ekhishwe isikhathi eside nethebhulethi ekhishwa enwetshiwe.

I-Zoloft iyi-serotonin reuptake inhibitor ekhethiwe (SSRI) etholakala kuzo zombili izinhlobo zomkhiqizo kanye ne-generic. Igama elijwayelekile yi-sertraline. I-Zoloft iyatholakala kuzo zombili izinhlobo zethebhulethi nezoketshezi.

Umehluko omkhulu phakathi kwe-Effexor neZoloft
	I-Effexor	Zoloft
Isigaba sezidakamizwa	I-SNRI (serotonin-norepinephrine reuptake inhibitor)	I-SSRI (i-serotonin reuptake inhibitor ekhethiwe)
Isimo somkhiqizo / ejwayelekile	Umkhiqizo nokujwayelekile	Umkhiqizo nokujwayelekile
Ngubani igama elijwayelekile?	I-Venlafaxine	Sertraline
Izidakamizwa zingena ngaziphi izinhlobo?	Ithebhulethi, amaphilisi akhishwa isikhathi eside, amaphilisi akhishwa isikhathi eside	Ithebhulethi noketshezi
Uyini umthamo ojwayelekile?	Umthamo ojwayelekile yi-XR 75 noma i-150 mg nsuku zonke Taper kancane kancane lapho uyeka	Umthamo wabantu abadala: 50-200 mg nsuku zonke (ubuningi bama-200 mg ngosuku) Taper kancane kancane lapho uyeka
Yelashwa isikhathi esingakanani?	Iyahlukahluka	Iyahlukahluka
Ubani ovame ukusebenzisa umuthi?	Abantu abadala	Abantu abadala; izingane ezineminyaka engama-6 kuya kwengu-17 ze-OCD kuphela

Izimo eziphathwe ngu-Effexor noZoloft

I-Effexor, esefomini yayo ekhishwa ngokushesha, ikhonjiswa ngesifo sokucindezeleka okukhulu. I-Effexor XR (ukukhishwa okunwetshiwe) ikhonjisiwe ngesifo sokucindezeleka okukhulu, ukukhathazeka okujwayelekile, ukuphazamiseka kokukhathazeka komphakathi, kanye nokuphazamiseka kwesifo.

I-Zoloft ikhonjiswe ekwelapheni ukucindezeleka okukhulu, ukukhathazeka ngokweqile, ukuphazamiseka kokuphazamiseka, ukucindezeleka kwangemva kokuhlukumezeka, ukukhathazeka komphakathi kanye nesifo se-dysphoric premenstrual.

Isimo	I-Effexor	Zoloft
Isifo Esikhulu Sokucindezeleka (MDD)	Yebo (amafomu e-IR ne-XR)	Yebo
Isifo sokukhathazeka esijwayelekile	Yebo (ifomu le-XR kuphela)	Ngaphandle kwelebula
Isifo se-Obsessive-compulsive (OCD)	Ngaphandle kwelebula	Yebo
I-Panic disorder (PD)	Yebo (ifomu le-XR kuphela)	Yebo
Isifo sokucindezeleka kwangemva kwenhlekelele (PTSD)	Ngaphandle kwelebula	Yebo
Isifo sokukhathazeka komphakathi (SAD)	Yebo (ifomu le-XR kuphela)	Yebo
Isifo se-premenstrual dysphoric (PMDD)	Ngaphandle kwelebula	Yebo

Ngabe i-Effexor noma iZoloft isebenza kangcono?

Isifundo esisodwa kuqhathaniswa i-Effexor XR ne-Zoloft ekwelapheni ukucindezeleka futhi bathola ukuthi yomibili le mithi inamandla afanayo futhi inomphumela ofanayo kwikhwalithi yempilo, kepha ukuthi iZoloft ibinemiphumela engemihle embalwa. Futhi, iziguli ezithathe i-Effexor zazinengozi eyengeziwe yomfutho wegazi ophakeme.

Ukuhlaziywa ku I-Lancet kubuyekezwe izifundo eziningi ukufuna i-anti-depressant engcono kakhulu. Abaphenyi babheka ama-anti-depressants angama-21 (kufaka phakathi i-Effexor neZoloft) bathola ukuthi yonke imishanguzo isebenza kangcono kune-placebo. I-Effexor yatholwa njengenye ye-anti-depressants esebenza kahle, kepha uZoloft wabekezelelwa kangcono.

Isidakamizwa esisebenza kahle kakhulu kuwe kufanele sinqunywe ngumhlinzeki wakho wezokunakekelwa kwempilo, ongacabangela umlando wakho wezokwelapha, izimo zezokwelapha, neminye imishanguzo oyithathayo engaxhumana no-Effexor noma uZoloft.

Ukuhlanganiswa nokuqhathaniswa kwezindleko kwe-Effexor vs. Zoloft

I-Effexor XR, uhlobo olunqunyelwe kakhulu lwe-Effexor, lumbozwe yimishuwalense eminingi kanye nezinhlelo zemithi zikaMedarere. Uhlobo olujwayelekile luzoba ne-copay ephansi, negama lomkhiqizo lingaba ne-copay ephakeme noma lingaveli. Inani elikhishwa ephaketheni lomuthi ojwayelekile wamaphilisi ajwayelekile angama-30, 150 mg cishe li- $ 140. Ungasebenzisa ikhadi lamahhala le-SingleCare ukuthenga incwadi kadokotela ejwayelekile cishe ngama- $ 15.

I-Zoloft ivame ukumbozwa yizinhlelo zombili zomshuwalense kanye neMedicare. IGeneric Zoloft izoba ne-copay ephansi, kanti igama lomkhiqizo lingaba ne-copay ephakeme noma lingahlanganiswa nhlobo. Izindleko eziphuma ephaketheni leZoloft cishe zingama- $ 32 ngamaphilisi angama-30 wamaphilisi ayi-100 mg ejwayelekile e-sertraline. Ungasebenzisa ikhadi lamahhala le-SingleCare ukwehlisa intengo ifike ku- $ 10 nge-generic Zoloft.

Njengoba izinhlelo zomshuwalense ziyahlukahluka futhi zingashintsha, thintana nohlelo lwakho lomshuwalense wezempilo ngolwazi lwamanje lokumbozwa.

	I-Effexor	Zoloft
Ngokuvamile embozwe umshwalense?	Yebo (okujwayelekile)	Yebo (okujwayelekile)
Imbozwe ngokujwayelekile yi-Medicare Part D?	Yebo (okujwayelekile)	Yebo (okujwayelekile)
Ubuningi	30, 150 mg amaphilisi akhululiwe	30, 100 mg amaphilisi
I-Medicare copay ejwayelekile	$ 0- $ 20	$ 0- $ 13
Izindleko ze-SingleCare	$ 10- $ 40	$ 9- $ 31

Imiphumela emibi ejwayelekile ye-Effexor vs. Zoloft

Imiphumela emibi kakhulu ye-Effexor XR yisicanucanu, ubuthongo, umlomo owomile, ukujuluka, izinkinga zocansi, ukuncipha kwesifiso sokudla, nokuqunjelwa.

Okuvame kakhulu ukusabela okubi Zoloft kukhona isicanucanu, uhudo, izinkinga zocansi, umlomo owomile, ukuqwasha nokulala.

Eminye imiphumela emibi kungenzeka. Xhumana nochwepheshe wezokunakekelwa kwezempilo ukuthola uhlu oluphelele lwemiphumela engemihle.

	I-Effexor *	Zoloft
Umphumela oseceleni	Kusebenza?	Imvamisa	Kusebenza?	Imvamisa
Ubuhlungu bekhanda	Yebo	1.5%	Yebo	% akubikiwe
Isicanucanu	Yebo	30%	Yebo	26%
Uhudo	Yebo	8%	Yebo	amashumi amabili%
Ukuqunjelwa	Yebo	9%	Yebo	6%
Ukwehla kwesifiso sokudla	Yebo	10%	Yebo	7%
Ukujuluka	Yebo	ishumi nanye%	Yebo	7%
Ukuphazamiseka kokuchama / izinkinga zocansi	Yebo	5-10%	Yebo	8%
Umlomo owomile	Yebo	ishumi nanhlanu%	Yebo	14%
Ukulala	Yebo	ishumi nanhlanu%	Yebo	ishumi nanye%
Ukuqwasha	Yebo	18%	Yebo	amashumi amabili%
Isiyezi	Yebo	16%	Yebo	12%

* Amaphesenti afakwe kuhlu yi-Effexor XR, ukwakheka okuvame kakhulu okunqunyelwe kwe-Effexor.
Umthombo: DailyMed ( I-Effexor XR ), IDailyMed (Zoloft)

Ukusebenzisana kwezidakamizwa kwe-Effexor vs. Zoloft

Ama-inhibitor e-MAO akufanele asetshenziswe kungakapheli izinsuku eziyi-14 ze-Effexor noma i-Zoloft. Inhlanganisela ingakhuphula ubungozi be isifo se-serotonin , isimo esiphuthumayo esisongela impilo ngenxa ye-serotonin eyeqile. Ama-Triptans asetshenziselwa ukwelapha i-migraines, kanye namanye ama-anti-depressants, i-opioid, i-dextromethorphan, noma i-wort yaseSt.

Izidakamizwa ezingezona ukuvuvukala (ama-NSAID) anjenge-Advil, Motrin, ne-aspirin, noma ama-anticoagulants anjenge-warfarin, akufanele athathwe ne-Effexor noma iZoloft ngenxa yokwanda kwengozi yokopha.

Ungaphuzi utshwala ngenkathi uthatha i-Effexor noma iZoloft.

Okunye ukuxhumana kwezidakamizwa kungenzeka. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ukuthola uhlu oluphelele lokuhlangana kwezidakamizwa.

Izidakamizwa	Isigaba Sezidakamizwa	I-Effexor	Zoloft
I-Aspirin UCelecoxib Ibuprofen UMeloxicam I-Naproxen	Ama-NSAID (izidakamizwa ezingezona ukuvuvukala)	Yebo	Yebo
I-Phenelzine I-Rasagiline USelegiline I-Tranylcypromine	Ama-MAOIs (Monoamine oxidase inhibitors)	Yebo	Yebo
Utshwala	Utshwala	Yebo	Yebo
I-Rizatriptan I-Sumatriptan Zolmitriptan	Ama-Triptans	Yebo	Yebo
I-Dextromethorphan	Ukukhwehlela okucindezelayo	Yebo	Yebo
I-Warfarin	I-Anticoagulant	Yebo	Yebo
ISt. John's Wort	Isengezo	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-TCA (tricyclic antidepressants)	Yebo	Yebo
I-Baclofen I-Carisoprodol ICyclobenzaprine I-Metaxalone	Ukuphumula kwemisipha	Yebo	Yebo
ICarbamazepine I-Divalproex sodium UGabapentin I-Lamotrigine Levetiracetam I-Phenobarbital Phenytoin I-Pregabalin I-Topiramate	Ama-anticonvulsants	Yebo	Yebo
I-Diphenhydramine	Ukuhlalisa i-antihistamine	Yebo	Yebo

Izexwayiso ze-Effexor neZoloft

I-Effexor neZoloft banefayela le- isixwayiso sebhokisi elimnyama . Isexwayiso sebhokisi elimnyama yisixwayiso esinzima kakhulu esidingwa yi-FDA (i-United States Food and Drug Administration). Izingane, intsha, kanye nabantu abadala abancane (abaze kufinyelela eminyakeni yobudala engama-24) abathatha imishanguzo yokulwa nengcindezi basengozini enkulu yokuzibulala nokuziphatha. Zonke iziguli ezithatha imishanguzo yokucindezela kufanele zibhekwe ngokucophelela.
Iziguli ezithatha i-Effexor noma iZoloft zisengozini ye-serotonin syndrome, isimo esiphuthumayo esisongela impilo esibangelwa i-serotonin eningi kakhulu. Lokhu kungenzeka kakhulu ngokwanda kwesilinganiso kanye / noma uma uthatha eminye imithi ekhulisa i-serotonin. Ukuqapha izimpawu ze-hallucinations, umkhuhlane, ukuthuthumela, ukuquleka, kanye / noma ukuphazamiseka.
Izimpawu zokuhoxa, njengokuxokozela, zingenzeka lapho uyeka i-Effexor noma iZoloft. Iziguli kufanele zisikhiphe kancane kancane lesi sidakamizwa futhi zingalokothi ziyeke ngokungazelelwe. Umhlinzeki wakho wezokunakekelwa kwempilo angakunika uhlelo lokuthwebula.
Sebenzisa ngokuqapha ezigulini ezinokuquleka noma ukuphazamiseka kwengqondo okuguquguqukayo.
Kukhona ingozi ye-hyponatremia (i-sodium ephansi) ngenxa ye-syndrome yokufihlwa okungafanele kwe-antidiuretic hormone (SIADH). Izimpawu ze-SIADH zingafaka ikhanda, ubunzima bokugxila, ukukhubazeka kwememori, ukudideka, ubuthakathaka nokungazinzi, okungadala ukuwa. Funa ukwelashwa ngokushesha uma kuvela izimpawu.
Gwema i-Effexor noma i-Zoloft ezigulini ezine-glaucoma yokuvala i-angle.
I-Effexor noma i-Zoloft ingandisa ingozi yokuphuma kwegazi. Le ngozi inyuka ngokusetshenziswa okuhambisanayo kwama-NSAID noma i-warfarin.
Ukulahleka kwesifiso kanye / noma ukunciphisa umzimba kungenzeka.
I-Effexor noma i-Zoloft kufanele isetshenziswe kuphela ku- ukukhulelwa uma umhlinzeki wakho wezokunakekelwa kwezempilo enquma ukuthi lezo zinzuzo zidlula izingozi. I-Effexor noma i-Zoloft ingadala izinkinga ezinkulu enganeni, ikakhulukazi uma ithathwe ku-trimester yesithathu. Uma usuvele uku-Effexor noma iZoloft futhi uthola ukuthi ukhulelwe, xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ngokushesha.
Isixazululo somlomo seZoloft siqukethe u-12% wotshwala.
I-Effexor ingakhuphula umfutho wegazi. Gada umfutho wegazi ngaphambi nangesikhathi sokwelashwa nge-Effexor. Sebenzisa ngokuqapha ezigulini ezine-high blood pressure noma izinkinga zenhliziyo.

Imibuzo ebuzwa njalo mayelana ne-Effexor vs. Zoloft

Kuyini i-Effexor?

I-Effexor iyi-anti-depressant ye-SNRI. I-Effexor iphatha ukucindezeleka (okubizwa nangokuthi ukucindezeleka okukhulu kokucindezeleka noma ukucindezeleka okukhulu) kubantu abadala. I-Effexor XR (ukukhululwa okunwetshiwe) ilapha ukucindezeleka, ukuphazamiseka kokukhathazeka komphakathi, i-panic disorder kanye nesifo sokukhathazeka esijwayelekile. Igama elijwayelekile le-Effexor yi-venlafaxine.

Kuyini iZoloft?

I-Zoloft (i-sertraline) iyi-SSRI (i-serotonin reuptake inhibitor ekhethiwe) ekhonjiswe ekwelapheni ukucindezeleka okukhulu, ukuphazamiseka okucindezelayo, ukuphazamiseka kwesifo, ukucindezeleka kwangemva kokuhlukumezeka, ukuphazamiseka kokukhathazeka komphakathi, kanye nokuphazamiseka kwangaphambi kokuya esikhathini.

Ngabe i-Effexor neZoloft ziyefana?

I-Effexor neZoloft azifani. I-Effexor iyingxenye yesigaba sezidakamizwa esibizwa nge-SNRIs, noma i-serotonin-norepinephrine reuptake inhibitors. Umsebenzi we-SNRIs ku-serotonin ne-norepinephrine. Eminye imithi ekilasini le-SNRI yiCymbalta (duloxetine) nePristiq (desvenlafaxine).

I-Zoloft iyingxenye yesigaba sezidakamizwa esibizwa nge-SSRIs, noma i-serotonin reuptake inhibitors ekhethiwe. Ama-SSRIs asebenza nge-serotonin. Eminye imithi ekilasini lemithi ye-SSRI yiProzac ( i-fluoxetine ), UCelexa (citalopram), Lexapro ( esitalopramu ), ULuvox (i-fluvoxamine), ne-Paxil (i-paroxetine).

Okunye umehluko phakathi kwe-Effexor neZoloft kuchazwe ngenhla.

Ngabe i-Effexor noma iZoloft ingcono?

Noma imuphi umuthi ungasebenza, kepha wonke umuntu uphendula ngokuhlukile emithini ehlukahlukene. Umuthi omuhle kakhulu unganqunywa ngumhlinzeki wakho wezokunakekelwa kwempilo, ongacabanga ngomlando wakho wezokwelapha neminye imithi oyithathayo engaxhumana no-Effexor noma uZoloft.

Ngingayisebenzisa i-Effexor noma iZoloft ngenkathi ngikhulelwe?

Ukuthatha i-Effexor noma i-Zoloft ku-trimester yesithathu kungadala izinkinga ezinkulu enganeni, okuholele ekulalisweni isikhathi eside esibhedlela, ukufuthwa ngamapayipi, kanye nokusekelwa kokuphefumula. I-Effexor noma i-Zoloft inqunyelwe kuphela ekukhulelweni lapho izinzuzo zidlula ubungozi futhi uma kungekho enye indlela ephephile etholakalayo. Uma usuvele uthatha i-Effexor noma i-Zoloft futhi uthola ukuthi ukhulelwe, xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo ukuthola iseluleko sezokwelapha.

Ngingayisebenzisa i-Effexor noma iZoloft ngotshwala?

Cha. Asikho isidakamizwa okufanele sisetshenziswe notshwala. Ukuhlanganisa i-antidepressant, efana ne-Effexor noma i-Zoloft, notshwala, kungadabukisa ukucindezeleka noma izimpawu zokukhathazeka, kuphazamise ukucabanga nokuqapha, futhi kukhuphule nemiphumela yokusilalisa nokuzela.

Ingabe iZoloft ingcono ekukhathazekeni noma ekucindezelekeni?

I-Zoloft ikhonjisiwe ngesifo sokucindezeleka okukhulu (ukucindezeleka). I-Zoloft ayikhonjisiwe ngesifo sokukhathazeka esijwayelekile, kepha ikhonjiswa ngokushaywa uvalo, ukukhathazeka komphakathi kanye ne-OCD. Umhlinzeki wakho wezokunakekelwa kwempilo angakunquma umuthi ongcono kakhulu kuwe, kuya ngokuxilongwa kwakho nezinye izinto ezifana nomlando wakho wezokwelapha neminye imithi oyithathayo engaxhumana noZoloft.

Ingabe iZoloft ingase ibe nzima ukukhathazeka?

I-Zoloft ingaphatha ukudangala nezinhlobo ezithile zokuphazamiseka kokukhathazeka. Kodwa-ke, abanye abantu bayahlangabezana nakho ukukhathazeka okwengeziwe noma ukuphazamiseka , ikakhulukazi lapho uqala ukwelashwa. Uma uthatha uZoloft futhi uzizwa ukhathazekile noma uthukuthele, xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo ukuthola iseluleko sezokwelapha.

Futhi, imicabango yokuzibulala ingenzeka kwezinye izimo, futhi ingozi iphakeme ezigulini ezineminyaka engama-24. Uma unemicabango yokuzibulala, funa ukwelashwa okuphuthumayo. Qiniseka ukuthi obathandayo bayazi ngamathuba emicabango yokuzibulala kanye / noma nokuziphatha, ukuze bakwazi ukuqaphela noma yiziphi izingqinamba ezingaba khona futhi bakusize ufune ukwelashwa uma kudingeka.

Ngabe kungcono ukuthatha iZoloft ekuseni noma ebusuku?

Imininingwane enqunyiwe yeZoloft ayichazi isikhathi esihle sosuku ukuyithatha. Isikhathi esihle sosuku yilapho uzokhumbula ukusithatha nsuku zonke. Futhi, uma iZoloft ikwenza wozele, ungahle uthande ukuyithatha ebusuku. Kwabanye abantu, iZoloft ibangela ukuqwasha. Uma iZoloft ibangela ukuqwasha, ungahle uthande ukuyithatha ekuseni. Ungabuza umuntu obhale incwadi yakho ukuthi uphakamisa isikhathi esinconyiwe yini.