IKlonopin vs.Valium: 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
Uma uhlangabezana ukukhathazeka noma ezinye izimo zempilo yengqondo, awuwedwa. Ukukhathazeka kuthinta abantu abadala abayizigidi ezingama-40 e-United States minyaka yonke-lokho kungu-18% wabantu.
I-Klonopin (clonazepam) ne-Valium (diazepam) yimithi emibili ye-benzodiazepine esetshenziswa ekwelapheni ukukhathazeka nezinye izimo. Yomibili imishanguzo kadokotela ivunywa yi-U.S. Food and Drug Administration (FDA).
I-Benzodiazepines isebenza ohlelweni lwezinzwa oluphakathi (CNS) ngokwandisa umsebenzi we-neurotransmitter gamma-aminobutyric acid (GABA). Ngokwenza njalo, umuthi wehlisa ubuchopho nohlelo lwezinzwa, okuholela nomphumela wokuphumula nokuzola, futhi kungasiza ukulala lapho uthathwa ngesikhathi sokulala. Ngoba ama-benzodiazepines (kwesinye isikhathi abizwa ngokuthi ama-benzos) anamandla okusebenzisa kabi izidakamizwa noma ukuncika, ahlukaniswa yi-Drug Enforcement Agency (DEA) njengezinto ezilawulwayo Hlela izidakamizwa IV .
Uyini umehluko omkhulu phakathi kweKlonopin neValium?
I-Klonopin neValium yomibili imishanguzo yokukhathazeka, ebizwa nangokuthi i-anxiolytics. I-Klonopin yisidakamizwa se-benzodiazepine esaziwa ngegama laso elejwayelekile, i-clonazepam. Itholakala ngendlela yethebhulethi yomlomo kanye nethebhulethi ehlukaniswa ngomlomo. I-Klonopin iyi-benzodiazepine esebenza phakathi. Kuthatha cishe ihora elilodwa kuya kwamane ukufinyelela umphumela wayo omkhulu. Ingxenye yempilo yomuthi yisikhathi esithatha isigamu somuthi ukushiya umzimba, futhi kuthatha izimpilo ezinhlanu kuya kweziyisithupha zokuqeda isidakamizwa emzimbeni. Impilo yengxenye yeKlonopin ingamahora angama-30-40.
IValium nayo iyisidakamizwa se-benzodiazepine, negama laso elejwayelekile ngu-diazepam. Itholakala kuthebhulethi, umjovo, kanye nefomu lesisombululo somlomo, kanye nejel yomugqa. Ijeli elingunxande lisetshenziselwa ukwelashwa kokuquleka. IValium ithathwa njenge-benzodiazepine esebenza isikhathi eside. Iqala ukusebenza ngokushesha — umphumela omkhulu ungazwakala kungakapheli ihora, futhi ihlala emzimbeni isikhathi eside. Ingxenye yempilo ifinyelela emahoreni ayi-100.
| Umehluko omkhulu phakathi kweKlonopin neValium | ||
|---|---|---|
| I-Klonopin | I-Valium | |
| Isigaba sezidakamizwa | I-Benzodiazepine | I-Benzodiazepine |
| Isimo somkhiqizo / ejwayelekile | Umkhiqizo nokujwayelekile | Umkhiqizo nokujwayelekile |
| Ngubani igama elijwayelekile? | Clonazepam | I-Diazepam |
| Izidakamizwa zingena ngaziphi izinhlobo? | Ithebhulethi, ithebhulethi ehlukaniswa ngomlomo | Ithebhulethi, umjovo, isisombululo somlomo, i-rectal gel (Diastat AcuDial) |
| Uyini umthamo ojwayelekile? | Iyahluka; isilinganiso esivamile singu-1 mg ngomlomo kabili ngosuku | Iyahluka; isilinganiso esivamile singu-5 mg ngomlomo izikhathi ezimbili kuya kwezi-4 ngosuku |
| Yelashwa isikhathi esingakanani? | Iyahluka; ubude bezokwelapha abusungulwa, ngakho-ke iziguli kufanele ziqashwe ngeso lokhozi | Iyahluka; ubude bezokwelapha abusungulwa, ngakho-ke iziguli kufanele ziqashwe ngeso lokhozi |
| Ubani ovame ukusebenzisa umuthi? | Abantu abadala nezingane | Abantu abadala nezingane |
Ufuna intengo engcono kakhulu kuValium?
Bhalisela izexwayiso zentengo yeValium bese uthola ukuthi intengo ishintsha nini!
Thola izexwayiso zentengo
Izimo eziphathwa yiKlonopin neValium
I-Klonopin iboniswa ekwelapheni ukuphazamiseka kokudlikiza kanye ne-panic disorder (nge-agoraphobia noma ngaphandle kwayo). I-Valium ikhonjiswa ngezinkinga zokukhathazeka, ukukhululeka kwesikhashana kwezimpawu zokukhathazeka, ukuhoxiswa okunamandla kotshwala, kanye nezimo zemisipha (ukuqubuka kwamathambo, ukuqina, i-athetosis, nesifo somuntu oqinile).
| Isimo | I-Klonopin | I-Valium |
| Izinkinga zokubamba | Yebo | Ijeli le-diazepam rectal lisetshenziswa ezigulini ezithile ezinesifo sokuwa |
| I-panic disorder (noma i-agoraphobia) noma i-panic attack | Yebo | Ngaphandle kwelebula |
| Izinkinga zokukhathazeka / ukukhululeka kwesikhashana kwezimpawu zokukhathazeka | Ngaphandle kwelebula | Yebo |
| Izimpawu zokuhoxiswa kotshwala (ukuyaluza / ukuthuthumela) | Ngaphandle kwelebula | Yebo |
| I-skeletal muscle spasm, ukuqina, i-athetosis, kanye i-stiff-person syndrome | Ngaphandle kwelebula | Yebo |
| Ngokuhambisana nezinkinga zokuxubana (hhayi njengokwelapha okukodwa) | Akunjalo | Yebo |
Ingabe iKlonopin noma iValium isebenza kangcono?
I-Klonopin ne-Valium banezinkomba ezihlukile-ngokwesibonelo, i-Valium ikhonjiswa ngezimpawu zokuhoxiswa kotshwala, kuyilapho i-Klonopin ingekho (kepha ingasetshenziswa ngaphandle kwelebula). Ukukhethwa kweKlonopin noma iValium, ngakho-ke, kuzoya ngenkomba. Futhi, umqondisi cishe uzobheka ukuthi iKlonopin isebenza ngokuphakathi futhi iValium isebenza isikhathi eside. Azikho izifundo ezenziwa ngamakhanda eziqhathanisa iKlonopin neValium.
Umuthi osebenza kahle kakhulu kuwe kufanele unqunywe ngumhlinzeki wakho wezokunakekelwa kwempilo, ongacabangela isimo sakho (s) somlando kanye nomlando wezokwelapha kanye nanoma yimiphi imithi oyiphuzayo engasebenzisana neKlonopin noma iValium.
Ufuna intengo engcono kakhulu kuKlonopin?
Bhalisela izexwayiso zentengo zeKlonopin bese uthola ukuthi intengo ishintsha nini!
Thola izexwayiso zentengo
Ukuqhathaniswa kanye nezindleko zeKlonopin vs.Valium
I-Klonopin imbozwa umshwalense kanye ne-Medicare Part D. Uhlobo olujwayelekile lwe-clonazepam alubizi kakhulu. Igama lomkhiqizo kungenzeka lingahlanganiswa noma lingaba ne-copay ephakeme kakhulu. Umuthi ovamile ungaba owamathebulethi angama-60 we-1 mg generic clonazepam, kanti intengo ephuma ephaketheni ingaba ngaphezu kwama- $ 40. Ungayithenga cishe u- $ 15 kumakhemisi abambe iqhaza ngesigqebhezana se-SingleCare.
IValium nayo ivame ukumbozwa umshuwalense kanye neMedicare Part D ngendlela yayo ejwayelekile ye-diazepam. Umkhiqizo wegama lomkhiqizo ungabiza kakhulu noma ungahle ungambozwa. Imithi ejwayelekile ingaba ngamathebulethi angama-60 we-5 mg ejwayelekile ye-diazepam. Intengo ephuma ephaketheni icishe ibe ngama- $ 23 kepha ingaphansi kwama- $ 10 ngesaphulelo se-SingleCare.
| I-Klonopin | I-Valium | |
| Ngokuvamile embozwe umshwalense? | Yebo (kukhethwe okujwayelekile) | Yebo (kukhethwe okujwayelekile) |
| Imbozwe ngokujwayelekile yi-Medicare Part D? | Yebo (kukhethwe okujwayelekile) | Yebo (kukhethwe okujwayelekile) |
| Umthamo ojwayelekile | # 60, 1 mg amaphilisi | # 60, 5 mg amaphilisi |
| Inkokhelo ejwayelekile yeMedicare Part D | $ 0- $ 24 | $ 0- $ 12 |
| Izindleko ze-SingleCare | $ 13- $ 16 | $ 6- $ 11 |
Imiphumela emibi ejwayelekile yeKlonopin vs.Valium
Imiphumela engemihle iyahlukahluka kakhulu, kuya ngomthamo nesimo esiphathwayo.
Imiphumela emibi kakhulu ye-Klonopin ukozela, ukukhathala, ukutheleleka okuphezulu okuphefumulayo, ukucindezeleka, ukungabi namandla okulawula imisipha nobuthakathaka. Imiphumela emibi kakhulu yeValium ukozela, ukukhathala, ubuthakathaka bemisipha, kanye ne-ataxia. Iphesenti lezehlakalo zemiphumela emibi alibikwanga neValium.
Lolu akulona uhlu olugcwele lwemiphumela emibi. Eminye imiphumela emibi ingavela. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ukuthola uhlu olugcwele lwemiphumela emibi.
| I-Klonopin | I-Valium | |||
| Umphumela oseceleni | Kusebenza? | Imvamisa | Kusebenza? | Imvamisa |
| Ukozela | Yebo | 37% | Yebo | Akubikiwe |
| Ukukhathala | Yebo | 9% | Yebo | Akubikiwe |
| I-Ataxia | Yebo | 5% | Yebo | Akubikiwe |
| Ubuthakathaka bemisipha | Yebo | Akubikiwe | Yebo | Akubikiwe |
| Ukucindezeleka | Yebo | 7% | Yebo | Akubikiwe |
| Ukutheleleka okuphezulu okuphefumula | Yebo | 8% | Akunjalo | - |
| Isiyezi | Yebo | 5% | Yebo | Akubikiwe |
Umthombo: DailyMed ( I-Klonopin ), IDailyMed ( I-Valium ).
Ukusebenzisana kwezidakamizwa zeKlonopin vs.Valium
AmaBenzodiazepines akufanele athathwe nama-opioid ngenxa yengozi yokweqisa, ukucindezeleka okukhulu kokuphefumula, ikhoma, noma ngisho nokufa. Uma inhlanganisela ingenakugwenywa, isiguli kufanele sithathe umthamo ophansi kunayo yonke isikhathi esifushane, futhi kufanele siqashwe ngeso elibukhali ngummeli. I-Benzodiazepines ibuye ihlanganyele nezinye izidambisi ze-CNS, kufaka phakathi utshwala, imishanguzo yokudambisa, ukuphumula kwemisipha kanye nama-anticonvulsants. Lolu akulona uhlu olugcwele lokusebenzisana kwezidakamizwa. Okunye ukuxhumana kwezidakamizwa kungenzeka. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ukuthola uhlu oluphelele lokuhlangana kwezidakamizwa.
| Izidakamizwa | Isigaba Sezidakamizwa | I-Klonopin | I-Valium |
| ICodeine I-Hydrocodone I-Hydromorphone I-Morphine I-Oxycodone I-Tramadol | Ama-opioid | Yebo | Yebo |
| Utshwala | Utshwala | 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-Tricyclic antidepressants | Yebo | Yebo |
| I-Baclofen I-Carisoprodol ICyclobenzaprine I-Metaxalone | Ukuphumula kwemisipha | Yebo | Yebo |
| ICarbamazepine I-Lamotrigine I-Phenobarbital Phenytoin | Ama-anticonvulsants | Yebo | Yebo |
| I-Rasagiline I-Phenelzine USelegiline I-Tranylcypromine | Ama-MAOIs (i-monoamine oxidase inhibitors) | Yebo | Yebo |
| I-Diphenhydramine | Ukuhlalisa ama-antihistamine | Yebo | Yebo |
Izexwayiso zeKlonopin neValium
Noma nini lapho ugcwalisa incwadi kadokotela ye-Klonopin noma i-Valium, uzothola umhlahlandlela wemithi ngolwazi olubalulekile mayelana nemiphumela engemihle nezexwayiso. Ngoba zombili zingama-benzodiazepines, iKlonopin neValium banezexwayiso ezifanayo. Zombili lezi zidakamizwa zinesixwayiso esibhakeleni, okuyisixwayiso esiqine kakhulu esidingwa yi-FDA. I-Benzodiazepines efana neKlonopin noma iValium akufanele isetshenziswe ihlanganiswe nama-opioid, ngenxa yengozi yokwehliswa ngokweqile, ukucindezeleka okukhulu kokuphefumula, ikhoma, noma ngisho nokufa. Uma inhlanganisela ye-opioid ne-benzodiazepine ingenakugwenywa, isiguli kufanele sithathe umthamo ophansi kunayo yonke isikhathi esifushane futhi siqashwe kakhulu ngumqaphi.
Ezinye izexwayiso zifaka:
- I-Benzodiazepines ingadala ukuncika ngokomzimba nangokwengqondo, futhi ingozi iphakeme ngamanani aphezulu, isikhathi eside sokusetshenziswa, noma umlando wokusebenzisa kabi izidakamizwa noma utshwala. Uma uthatha i-benzodiazepine, thatha imithi kuphela njengoba kunqunyiwe. Ungathathi imithamo eyengeziwe, futhi ungathathi umuthi nganoma yisiphi esinye isizathu ngaphandle kwalapho unikezwe khona. Gcina umuthi kude nezingane, nangaphansi Ilokhi nokhiye uma kwenzeka.
- Iziguli kufanele zisebenzise ukuqaphela lapho zishayela noma zisebenzisa imishini kuze kube yaziwa imiphumela.
- Gwema utshwala neminye imishanguzo ecindezela i-CNS lapho uthatha i-benzodiazepine.
- Sebenzisa ngokuqapha ezigulini ezinomlando wokusebenzisa kabi utshwala noma izidakamizwa.
- Lapho uyeka i-benzodiazepine, umuthi kufanele uthayishwe kancane ukugwema izimpawu zokuhoxa. Izimpawu zokuhoxa zingabandakanya ukuqubuka, ukuyaluza, ukudideka, ukushaya kwenhliziyo okusheshayo, i-vertigo nezinye izimpawu. Iziguli ezinenkinga yokubanjwa zisengozini enkulu yezimpawu zokuhoxa.
- Uma isetshenziswa ezigulini ezinezinhlobo ezithile zokuphazamiseka kokuthathwa, i-Klonopin noma i-Valium ingakhuphula izehlakalo noma inciphise ukuqala kokubanjwa okujwayelekile kwe-tonic-clonic, okungenzeka kudinge ukwengezwa kwama-anticonvulsants noma ukwanda komthamo wazo.
- Iziguli, abanakekeli babo, kanye nemindeni kufanele bazi ukuthi i-benzodiazepines ingadala ubungozi obengeziwe bokucabanga ukuzibulala noma indlela yokuziphatha. Qaphela noma yiziphi izimpawu nezimpawu zokucindezeleka, ushintsho esimweni sokuziphatha noma ekuziphatheni, noma lapho kuvela imicabango yokuzibulala, indlela yokuziphatha, noma imicabango yokuzilimaza. Noma yikuphi okuphathelene nokuziphatha kufanele kubikwe ngokushesha kumhlinzeki wezokunakekelwa kwempilo.
- I-Benzodiazepines kufanele isetshenziswe ngokuqapha ezigulini ezinomsebenzi wokuphefumula okhubazekile (njenge-COPD ne-apnea yokulala).
- Sebenzisa ngokuqapha / sebenzisa amanani aphansi ezigulini ezinezinkinga zesibindi noma zezinso.
- I-Klonopin noma i-Valium akufanele isetshenziswe lapho ukhulelwe. Zombili lezi zidakamizwa zihlukaniswa njengesigaba sokukhulelwa D, okusho ukuthi kunengozi yokulimala embungwini. Uma uthatha iKlonopin noma iValium futhi uthola ukuthi ukhulelwe, xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo ngokushesha ukuze uthole isiqondiso.
- Zombili lezi zidakamizwa zise- Uhlu Lwabhiya yezidakamizwa okungenzeka zingafaneleki ukusetshenziswa kubantu abadala asebekhulile. Abantu abadala asebekhulile bengezelele ukuzwela kuma-benzodiazepines futhi kunengozi eyengeziwe yokukhubazeka kwengqondo, i-delirium, ukuwa, ukuphuka, nokuphazamiseka kwezimoto kubantu abadala lapho kusetshenziswa iKlonopin noma iValium.
Imibuzo ebuzwa njalo ngeKlonopin vs. Valium
Kuyini iKlonopin?
I-Klonopin, noma i-clonazepam, iyisidakamizwa se-benzodiazepine esisetshenziswa ekwelapheni izinhlobo ezithile zokubanjwa kanye nokuphazamiseka kwesifo nge-agoraphobia noma ngaphandle kwayo.
Yini iValium?
IValium yisidakamizwa se-benzodiazepine esisetshenziselwa ukukhathazeka, izimpawu zokuhoxiswa kotshwala, kanye nokuphazamiseka kwemisipha.
Ngabe iKlonopin neValium ziyafana?
Cha. IKlonopin neValium zombili zingama-benzodiazepines, kepha awafani ncamashi. Funda ngaphezulu ukuthola okwengeziwe ngomehluko phakathi kweKlonopin neValium. Amanye ama-benzodiazepines ajwayelekile ongase uzwe ngawo afaka Xanax (alprazolam) kanye I-Ativan (lorazepam).
Ngabe iKlonopin noma iValium ingcono?
Azikho izifundo eziqhathanisa ngqo le mithi emibili. Umhlinzeki wakho wezokunakekelwa kwezempilo anganquma ukuthi ngabe enye yalezi zidakamizwa ikufanele yini wena, ucabangela izimo zakho zezokwelapha, umlando, neminye imithi oyiphuzayo.
Ngingayisebenzisa yini iKlonopin noma iValium ngenkathi ngikhulelwe?
Zombili lezi zidakamizwa zisesigaba D futhi akufanele zisetshenziswe lapho ukhulelwe. Zingalimaza umbungu okhulayo. Uma usuvele uthatha iKlonopin noma iValium futhi uthola ukuthi ukhulelwe, thintana nomhlinzeki wakho wezempilo ngokushesha.
Ngingayisebenzisa iKlonopin noma iValium ngotshwala?
Akunjalo . Ukuhlanganisa i-Klonopin noma i-Valium notshwala kuyingozi futhi kungadala ukucindezeleka kokuphefumula (ukuphuza ukuphefumula, ukungatholi umoya-mpilo owenele), ukuthamba ngokweqile, ikhoma, noma nokufa.
Ingabe iKlonopin iyisidambisi sokuphumula?
I-Klonopin ayikhonjisiwe ukuthi ingasetshenziswa njenge-relaxant yemisipha. I-Valium inesibonakaliso njengokuhlangana ekukhululekeni kwemisipha yamathambo, ezigulini ezine-spasm yemisipha ngenxa yokuvuvukala; ukuqina ngenxa yezimo ezithile ezifana ne-cerebral palsy noma i-paraplegia; i-athetosis; nesifo somuntu onenkani. Kwesinye isikhathi, iKlonopin ingasetshenziswa ngaphandle kwelebula yemisipha, kepha akuyona umugqa wokuqala noma ukwelashwa okuvamile kwemisipha.
Ingabe i-Valium iyasiza ngokulala?
Ukozela kungenye yemiphumela emibi kakhulu yeValium. Kodwa-ke, iValium ingadala umphumela ohlukile — ukuqwasha noma ukuphazamiseka kokulala — kwezinye iziguli. Yize iValium ivame ukudala ukozela, ayichazwanga (noma ikhonjisiwe) ukusiza ngokulala. Uma unenkinga yokulala, thintana nomhlinzeki wakho wezokunakekelwa kwezempilo ukuze uthole iseluleko sezokwelapha.
