Main >> Izidakamizwa Vs. Umngani >> Eliquis vs Warfarin: Umehluko Omkhulu nokufana

Eliquis vs Warfarin: Umehluko Omkhulu nokufana

Eliquis vs Warfarin: Umehluko Omkhulu nokufanaIzidakamizwa Vs. Umngani

Kungenzeka uke wezwa nge-Eliquis (apixaban) ne-warfarin uma uke watholakala unesimo esivumela ukusetshenziswa kwe-anticoagulant. Ngaphandle kwalokho kwaziwa njengabanciphisi begazi, i-Eliquis ne-warfarin kungasetshenziswa ukuvimbela ukwakheka kwamahlule egazi. Ngokuvimbela amahlule egazi, le mithi inganciphisa ubungozi bezimo ezinjenge-vein thrombosis (i-DVT) ejulile kanye nokushaywa unhlangothi ku-atrial fibrillation. Ngenkathi yomibili le mithi inemisebenzi efanayo, nayo iyahluka ngezindlela eziningana.





U-Eliquis

U-Eliquis (Yini u-Eliquis?) Igama lomkhiqizo le-apixaban. Isebenza njenge-inhibitor ekhethiwe ye-factor Xa, into ebalulekile ekwakhekeni kwamahlwili. Ngokuvimbela ngqo le ngxenye, kunciphisa ukukhula kweplatelet ne-thrombus okugcina kunciphise ukujiya kwegazi.



I-Eliquis ikhonjisiwe ukunciphisa ubungozi bokushaywa unhlangothi nokufakwa embotsheni okuhleliwe ezigulini ezine-nonvalvular atrial fibrillation. Ingasetshenziswa futhi ukuvimbela nokwelapha i-vein thrombosis (DVT) ejulile kanye ne-pulmonary embolism (PE) kubantu abathile.

I-Eliquis ingalawulwa njenge-2.5 mg kanye ne-5 mg amaphilisi omlomo. Njengamanje, ayikho ithebhulethi yomlomo ejwayelekile etholakalayo. Umthamo onconywayo uyahlukahluka kuye ngesimo eselashwa. Kungakhathaleki ukuthi unamandla kangakanani, kuvamise ukwenziwa idosi kabili nsuku zonke. Ukuqapha amanani webhu ne-INR akudingeki njalo ngalo muthi.

Ukulungiswa kokulinganisa kudinga ukwenziwa kulabo okungenani abanezici ezilandelayo: ubudala beminyaka engama-80 ubudala nangaphezulu, isisindo somzimba esingaphansi kuka-60 kg (cishe ama-132 lbs), noma i-serum creatinine noma ngaphezulu kuka-1.5 mg / dL . Ukusetshenziswa kwe-Eliquis akunconywa ezigulini ezikhulelwe noma kulabo abanokukhubazeka okukhulu kwesibindi.



Ufuna intengo engcono ku-Eliquis?

Bhalisela izaziso zentengo ze-Eliquis bese uthola ukuthi intengo ishintsha nini!

Thola izexwayiso zentengo

I-Warfarin

IWarfarin (Yini iWarfarin?) Igama elejwayelekile likaCoumadin. Kuvimbela ukujiya kwegazi ngokusebenza njengomphikisi kavithamini K. UVitamin K uyinto ebalulekile edingekayo kanye nezinye izinto ukwakha amahlule emzimbeni. Ngokuvimbela uvithamini K, amahlule amasha awakwazi ukwakhiwa.



I-Warfarin ikhonjisiwe ukwelapha nokuvimbela ama-DVT nama-PE kakhulu njenge-Eliquis. Ibuye isetshenziselwe ukwelapha nokuvimbela izingqinamba ezijiyayo ezingavela nge-atrial fibrillation kanye nokushintshwa kwe-valve yenhliziyo. Ngokwengeziwe, i-warfarin inganciphisa ubungozi besikhathi esizayo bokuhlaselwa yinhliziyo nokushaywa unhlangothi ngemuva kokuhlaselwa yinhliziyo kokuqala.

Ngokungafani ne-Eliquis, i-warfarin iyatholakala njengomuthi ojwayelekile kumathebulethi womlomo ngamandla we-1 mg, 2 mg, 2.5 mg, 3 mg, 4 mg, 5 mg, 6 mg, 7.5 mg, no-10 mg. I-Warfarin dosing iyahlukahluka kakhulu ngokuya ngenkomba yokwelashwa. Ngenxa yamandla anhlobonhlobo wamandla atholakalayo, i-warfarin dosing iyahlukahluka futhi ihlukile kakhulu.

I-INR, noma isilinganiso esijwayelekile samazwe omhlaba, kufanele siqashwe njalo lapho uthatha lo muthi njengoba lawa mazinga ezwela ekushintsheni kokudla, kokudla, nezinye izinto. Ibanga elijwayelekile lokwelashwa le-INR liphakathi kuka-2.0 no-3.0.



Thola ikhadi lesaphulelo sekhemisi

Eliquis vs Warfarin Side by Side Ukuqhathanisa

I-Eliquis ne-warfarin kungama-anticoagulants amabili anezinkomba ezifanayo. Banokuhlukahluka okuningana kokuthi basebenza kanjani futhi basebenzisane kanjani nezinye izidakamizwa. Lokhu kufana nokwehluka kungabhekwa ngezansi.



U-Eliquis I-Warfarin
Okumiselwe i
  • Ubungozi be-Stroke kanye ne-embolism ku-nonvalvular atrial fibrillation
  • Ukwelashwa kwe-DVT ne-PE
  • I-DVT ne-PE prophylaxis
  • Ukuvimbela nokwelashwa kwezinkinga ezivela ku-atrial fibrillation kanye nokushintshwa kwe-valve yenhliziyo
  • Inciphise ingozi yokufa, isifo senhliziyo esiphindaphindayo, nesifo sohlangothi ngemuva kokuhlaselwa yinhliziyo okokuqala
  • Ukwelashwa kwe-DVT ne-PE
  • I-DVT ne-PE prophylaxis
Ukuhlukaniswa Kwezidakamizwa
  • I-Anticoagulant
  • I-factor Xa inhibitor
  • I-Anticoagulant
  • Ophikisana noVitamin K
Umkhiqizi
  • Okujwayelekile
Imiphumela emibi ejwayelekile
  • Ukopha
  • Ukulimaza
  • Izinsini zokopha
  • Ukuya esikhathini okunzima
  • Kuphuma igazi ekhaleni
  • Ukopha
  • Ukulimaza
  • Izinsini zokopha
  • Ukuya esikhathini okunzima
  • Kuphuma igazi ekhaleni
  • I-Alopecia
  • I-Rash
Ingabe kukhona okujwayelekile?
  • Akukho okujwayelekile okutholakalayo
  • Akukho okujwayelekile okutholakalayo
Ngabe ihlanganiswe ngumshwalense?
  • Iyahluka kuya ngomhlinzeki wakho
  • Iyahluka kuya ngomhlinzeki wakho
Amafomu Esikali
  • Ithebhulethi yomlomo
  • Ithebhulethi yomlomo
Inani lentengo emaphakathi
  • 497 (ngamathebulethi angama-60)
  • 43 (ngamathebulethi ayi-100)
Intengo Yesaphulelo Esingabodwa
  • Intengo ka-Eliquis
  • Intengo yeWarfarin
Ukusebenzisana Kwezidakamizwa
  • I-P-gp ne-CYP3A4 inhibitors
  • Ama-inducers we-P-gp ne-CYP3A4
  • Ama-anticoagulants
  • Ama-antiplatelet agents
  • Ama-NSAID
  • Ama-CYP2C9 inhibitors
  • Ama-inducers we-CYP2C9
  • I-CYP1A2 inhibitors
  • Ama-inducers we-CYP1A2
  • I-CYP3A4 inhibitors
  • Ama-inducers we-CYP3A4
  • Ama-anticoagulants
  • Ama-antiplatelet agents
  • Ama-NSAID
  • Ama-SSRIs
Ngingakwazi ukusebenzisa ngenkathi ngihlela ukukhulelwa, ngikhulelwe, noma ngincelisa ibele?
  • U-Eliquis usesigabeni sokukhulelwa B. Azikho izifundo ezizinikele ezihlola i-Eliquis kwabesifazane abakhulelwe. Xhumana nodokotela mayelana nezinyathelo okufanele uzithathe uma uhlela ukukhulelwa noma ukuncelisa.
  • I-Warfarin isesigabeni sokukhulelwa X. I-Warfarin ingadala ukulimala kwengane futhi iyaphikiswa ukuthi isetshenziswe kwabesifazane abakhulelwe.

Isifinyezo

I-Eliquis ne-warfarin yimithi emibili ye-anticoagulant esebenza ngezindlela ezahlukene. U-Eliquis usebenza njenge-factor Xa inhibitor ngenkathi i-warfarin ingumphikisi ka-vitamin K. Yize behlukene ngezindlela zokusebenza, empeleni bakhiqiza umphumela ofanayo wokuncipha kwamahlule egazi.

Kokubili i-Eliquis ne-warfarin zinezinkomba ezifanayo zokwelapha nokuvimbela i-thrombosis (i-DVTs ne-PEs). Ngenkathi u-Eliquis engavimbela izinkinga ezivela ekufakweni kwe-atrial fibrillation, i-warfarin ingaphatha futhi ivimbele izinkinga ezivela ku-atrial fibrillation kanye / noma ukushintshwa kwe-valve yenhliziyo. IWarfarin nayo ivunyelwe yi-FDA ukuvimbela ukufa kwenhliziyo, isifo sohlangothi nokuhlaselwa yinhliziyo kulabo asebeke bahlaselwa yisifo senhliziyo.



I-Eliquis ingancanyelwa umuntu ongafuni ukubhekwa njalo kumalebhu we-INR. Ngokwesilingo se-ARISTOTLE, u-Eliquis ubuye wakhonjiswa ukuthi unokwehla okukhulu ebungozini bokushaywa unhlangothi, engcupheni yokopha kakhulu, futhi wehlise nokufa okuphelele uma kuqhathaniswa ne-warfarin. Okubi kakhulu ku-Eliquis inani eliphakeme ngenxa yokuntuleka kwamanje kwefomula ejwayelekile etholakala emakethe.