IKlonopin vs. Xanax: Umehluko, ukufana, nokuthi yikuphi okungcono kuwe

Izidakamizwa Vs. Umngani

Ukubuka konke kwezidakamizwa nokwehluka okuyinhloko | Izimo zilashwa | Ukusebenza | Ukutholakala komshuwalense nokuqhathaniswa kwezindleko | Okuqhamuka uma udla imishanguzo | Ukusebenzisana kwezidakamizwa | Izexwayiso | Imibuzo evame ukubuzwa

I-Klonopin (clonazepam) ne-Xanax (alprazolam) yimithi efanayo ekhonjisiwe yokwelapha ukukhathazeka nokukhathazeka. Yomibili le mithi ihlukaniswa njenge-benzodiazepines, esebenza ngokukhulisa umsebenzi we-GABA ebuchosheni. I-GABA, noma i-gaba-aminobutyric acid, iyi-neurotransmitter evimbelayo edlala indima enkulu ekwehliseni umsebenzi ohlelweni lwezinzwa oluphakathi (CNS).

Kokubili iKlonopin neXanax kusiza ekwelapheni izimpawu zokukhathazeka ngokukhiqiza umphumela ophumuzayo nopholile. Kodwa-ke, banokuhluka okuphawulekayo kokuthi basebenza isikhathi esingakanani nezinye izimo abangasetshenziselwa zona.

Uyini umehluko omkhulu phakathi kweKlonopin neXanax?

I-Klonopin

I-Klonopin yigama lomkhiqizo le-clonazepam. Kubhekwa njenge-benzodiazepine esebenza isikhathi eside nengxenye yempilo engaba cishe Amahora angama-30 kuye kwangama-40 . IKlonopin ifinyelela ukugxila okuphezulu egazini kungakapheli ihora elilodwa kuya kwamane ngemuva kokuyithatha.

I-Klonopin itholakala njengethebhulethi ejwayelekile ngamandla ka-0.5 mg, 1 mg, no-2 mg. Amaphilisi we-Oral disintegrating (ODT) nawo ayatholakala ngamandla we-0.125 mg, 0.25 mg, 0.5 mg, 1 mg, no-2 mg.

Xanax

IXanax yaziwa kakhulu ngegama layo elijwayelekile elithi alprazolam. Ngokungafani neKlonopin, iXanax iyi-benzodiazepine esebenza okwesikhashana enempilo engangehhafu Amahora angu-11 . Ukuphakama kwegazi kufinyelela kungakapheli ihora elilodwa noma amabili ngemuva kokuphathwa.

I-Xanax ifika kumathebulethi omkhiqizo nalawo ajwayelekile anamandla ka- 0.25 mg, 0.5 mg, 1 mg, no-2 mg. Amaphilisi wokukhishwa anwetshiwe nawo ayatholakala ngamandla ka-0.5 mg, 1 mg, 2 mg, no-3 mg. Kulabo abangaba nenkinga yokugwinya amaphilisi, i-alprazolam ingabekwa njengethebhulethi ye-ODT noma isisombululo samanzi (Intensol).

Umehluko omkhulu phakathi kweKlonopin neXanax
	I-Klonopin	Xanax
Isigaba sezidakamizwa	I-Benzodiazepine Osebenza isikhathi eside	I-Benzodiazepine Ukwenza okufishane
Isimo somkhiqizo / ejwayelekile	Uhlobo lomkhiqizo nolwejwayelekile luyatholakala	Uhlobo lomkhiqizo nolwejwayelekile luyatholakala
Ngubani igama elijwayelekile?	Clonazepam	I-Alprazolam
Izidakamizwa zingena ngaziphi izinhlobo?	Ithebhulethi yomlomo Ithebhulethi ehlakazeka ngomlomo	Ithebhulethi yomlomo Ithebhulethi ehlakazeka ngomlomo Ithebhulethi yokukhishwa enwetshiwe
Uyini umthamo ojwayelekile?	Ukuphazamiseka Kwesibindi: Ekuqaleni, u-0.25 mg ngomlomo kabili ngosuku. Ngemuva kwezinsuku ezintathu, umthamo ungakhuphuka ngo-0.125 mg uye ku-0.25 mg kabili nsuku zonke ezinsukwini ezi-3 kuye kumthamo ohlosiwe we-1 mg ngosuku. 1.5 mg ngosuku ihlukaniswe ngemithamo emi-3. I-Dose ingakhuphuka nge-0.5 mg iye ku-1 mg njalo ezinsukwini ezi-3 iye kumthamo omkhulu ka-20 mg ngosuku.	Ukuphazamiseka Kwesibindi: Ukukhishwa ngokushesha noma amaphilisi e-ODT: 0.5 mg ngomlomo kathathu nsuku zonke. I-Dose ingakhuphuka ifike ku-1 mg ngosuku njalo ezinsukwini ezi-3 kuye kwezingu-4 kuye ku-1 kuye ku-10 mg / ngosuku. 0.5 mg kuya ku-1 mg ngomlomo kanye ngosuku. I-Dose ingakhuphuka ifike ku-1 mg ngosuku njalo ezinsukwini ezi-3 kuye kwezingu-4 ibanga elingu-3 kuye kwayi-6 mg ngosuku.
Yelashwa isikhathi esingakanani?	Isikhathi sokwelashwa sinqunywa ngumhlinzeki wakho wezokunakekelwa kwempilo. Ukusetshenziswa kwesikhathi eside kwe-benzodiazepines akukhuthazwa ngokujwayelekile.	Isikhathi sokwelashwa sinqunywa ngumhlinzeki wakho wezokunakekelwa kwempilo. Ukusetshenziswa kwesikhathi eside kwe-benzodiazepines akukhuthazwa ngokujwayelekile.
Ubani ovame ukusebenzisa umuthi?	Abantu abadala, abaneminyaka engu-18 nangaphezulu (Izingane ezinesifo sokuquleka: kuze kufike eminyakeni eyi-10 ubudala noma ama-65 lbs. Wesisindo somzimba)	Abantu abadala, abaneminyaka engu-18 nangaphezulu

Ufuna intengo engcono kakhulu kuKlonopin?

Bhalisela izexwayiso zentengo zeKlonopin bese uthola ukuthi intengo ishintsha nini!

Thola izexwayiso zentengo

Izimo eziphathwa yiKlonopin neXanax

Njengemithi ye-anxiolytic, iKlonopin neXanax zingasiza ekunciphiseni izimpawu zokukhathazeka nokuhlaselwa ukwesaba. I-Klonopin ne-Xanax bobabili bavunyelwe yi-FDA ukwelapha ukuphazamiseka kovalo kubantu abadala abane noma abangenawo agoraphobia .

I-Klonopin nayo ivunyelwe ukwelashwa ukuphazamiseka kokuquleka kubantu abadala nezingane. Imvamisa isetshenziswa yodwa noma ihlanganiswe nezinye izindlela zokwelapha i-Lennox-Gastaut syndrome, ukuqubuka kwe-atonic, nokuquleka kwe-myoclonic. I-Klonopin nayo ingasetshenziswa kulabo ababhekana nokuquleka okungabikho.

I-Xanax ivunyelwe ukukhululeka kwesikhashana kulabo abanezinkinga zokukhathazeka. Izinkinga zokukhathazeka zibandakanya ukukhathazeka ngokweqile nokukhathazeka komphakathi. Ngokwelebula layo le-FDA, iXanax nayo ingaphatha ukukhathazeka okuhambisana nakho ukudana .

Ukusetshenziswa kwelebula kweKlonopin neXanax kufaka ukuqwasha, ukundindizela okubalulekile, i-premenstrual syndrome, nesifo semilenze esingaphumuli.

Isimo	I-Klonopin	Xanax
Ukukhathazeka	Yebo	Yebo
Ukuphazamiseka kovalo	Yebo	Yebo
Ukuphazamiseka kwengqondo	Yebo	Akunjalo
Ukuqwasha	Ngaphandle kwelebula	Ngaphandle kwelebula
Ukuthuthumela okubalulekile	Ngaphandle kwelebula	Ngaphandle kwelebula
Isifo somlenze esingenasiphetho	Ngaphandle kwelebula	Ngaphandle kwelebula
Isifo sangaphambi kokuya esikhathini	Ngaphandle kwelebula	Ngaphandle kwelebula

Ngabe iKlonopin noma iXanax isebenza kangcono?

Njengamanje, azikho izifundo eziqinile zekhanda nekhanda eziqhathanise iKlonopin neXanax. Yomibili i-benzodiazepines iyasebenza ngokuya ngokuthi isetshenziswa kanjani nokuthi izelapha ziphi.

IXanax isebenza kangcono ekwelapheni ukuphazamiseka kokudlikiza. Ibuye ibe nesikhathi eside sokusebenza, esingathandeka kwabanye abantu.

I-Xanax ingadinga ukuthathwa izikhathi eziningi ngosuku ukuze kugcinwe amazinga egazi engaguquguquki. Lokhu kungakhuphula futhi i- ingozi yezimpawu zokuhoxa .

Njengoba ukukhathazeka nokudangala kaningi kwenzeka ndawonye, ​​ama-benzodiazepines angahle anqunywe ngokuhlanganiswa ne-anti-depressant. Kokukodwa ukuhlaziywa kwe-meta , labo abanesifo sokukhathazeka okujwayelekile (i-GAD) bathola izinzuzo ezengeziwe lapho beqala nge-benzodiazepine ne-anti-depressant ndawonye, ​​okungenani ekuqaleni.

Kubalulekile ukuqonda ukuthi ukwelashwa ngama-benzodiazepines kukhethwe ngokweqile. Xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo ngezeluleko ezingcono kakhulu ngempilo yakho yengqondo.

Ufuna intengo engcono kakhulu kuXanax?

Bhalisela izexwayiso zentengo yeXanax bese uthola ukuthi intengo ishintsha nini!

Thola izexwayiso zentengo

Ukuqhathaniswa kanye nezindleko zeKlonopin vs. Xanax

I-Klonopin ngumuthi kadokotela ongathengwa ngohlobo lwawo olujwayelekile noma lwegama lomkhiqizo. Amaphilisi ejwayelekile e-Klonopin avame ukumbozwa yi-Medicare nezinhlelo zomshwalense. Izindleko ezijwayelekile zokuthengisa ze-generic Klonopin ngokuvamile zibalelwa ku- $ 45. Ukusebenzisa ikhadi lesaphulelo lesidakamizwa kunganciphisa intengo yemali ibe ngu- $ 14 noma ngaphansi.

I-Xanax iyatholakala nakumathebulethi ajwayelekile nawamagama. Kumaphilisi ejwayelekile e-Xanax akhishwa ngokushesha, intengo emaphakathi yokuthengisa ingafinyelela ku- $ 63. Kodwa-ke, ngekhadi lesaphulelo le-SingleCare, izindleko zokuphuma ephaketheni zingancishiswa zibe ngaphansi kuka- $ 15 emakhemisi athile. Izindleko eziphelele zemithi yakho zizohluka ngokuya ngekhemisi oyithandayo nokuthi mangaki amaphilisi owatholayo.

	I-Klonopin	Xanax
Ngokuvamile embozwe umshwalense?	Yebo	Yebo
Imbozwe ngokujwayelekile yi-Medicare?	Yebo	Yebo
Umthamo ojwayelekile	Amaphilisi 1 mg	Amaphilisi 1 mg
I-Medicare copay ejwayelekile	$ 0– $ 24	$ 0– $ 362
Izindleko ze-SingleCare	$ 14- $ 16	$ 13- $ 23

Imiphumela emibi ejwayelekile yeKlonopin vs. Xanax

Imiphumela emibi kakhulu ye-Klonopin ne-Xanax ifaka ukozela nokudangala. Labo abathatha iKlonopin noma i-Xanax nabo bangathola ukukhathala, isiyezi noma ikhanda elikhanyayo, ukulahlekelwa ukusebenzisana, kanye ukukhubazeka kwememori . Umlomo owomile ubuye ube nomphumela ohlangothini ovamile ohlotshaniswa neKlonopin neXanax.

Imiphumela emibi ye-benzodiazepines ingafaka ukozela okukhulu, ukudideka, ukuqubuka, ubuthakathaka, nenkinga yokuphefumula. Imiphumela emibi kakhulu kungenzeka ukuthi yenzeke ngokweqile noma lapho umuthi ungathathiwe njengoba kunqunyiwe.

	I-Klonopin	Xanax
Umphumela oseceleni	Kusebenza?	Imvamisa	Kusebenza?	Imvamisa
Ukozela	Yebo	37%	Yebo	41%
Ukucindezeleka	Yebo	7%	Yebo	14%
Isiyezi	Yebo	8%	Yebo	amaphesenti amabili
Ukukhathala	Yebo	7%	Yebo	> 1%
Ukulahlekelwa kokusebenzisana	Yebo	5%	Yebo	> 1%
Ukukhubazeka kwememori	Yebo	4%	Yebo	> 1%
Umlomo owomile	Yebo	* akubikiwe	Yebo	ishumi nanhlanu%

Lokhu kungenzeka kungabi uhlu oluphelele. Xhumana nodokotela wakho noma usokhemisi ngemiphumela engemihle engaba khona.
Umthombo: DailyMed ( I-Klonopin ), IDailyMed ( Xanax )

Ukusebenzisana kwezidakamizwa zeKlonopin vs. Xanax

I-Klonopin ne-Xanax ngokuyinhloko zenziwe umzimba, noma zicutshungulwe, esibindini yi-CYP3A4 enzyme. Ama-CYP3A4 inhibitors angakhuphula amazinga egazi ala ma-benzodiazepines, angaholela emiphumeleni emibi eyengeziwe. Ama-inhibitors e-CYP3A4 afaka ama-antifungal afana ne-ketoconazole kanye nama-antibiotics afana ne-erythromycin.

Ama-inducers e-CYP3A4 angasheshisa imetabolism yeKlonopin noma i-Xanax futhi, ekugcineni, anciphise ukusebenza kwawo. Ama-inducers we-CYP3A4 afaka phakathi izidakamizwa ze-anticonvulsant ezifana ne-phenytoin ne-carbamazepine, phakathi kwabanye.

Ngoba iKlonopin neXanax banakho Ukudangala kwe-CNS imiphumela, bangaxhumana nezinye izidakamizwa ezinemiphumela efanayo. Ukuthatha i-benzodiazepines ngezidakamizwa ezinjenge-opioid kanye ne-tricyclic anti-depressants kungakhuphula ingozi yokozela okukhulu, ukucindezeleka kokuphefumula, nokufa, ikakhulukazi ngemithamo emikhulu.

Izidakamizwa	Isigaba sezidakamizwa	I-Klonopin	Xanax
Ketoconazole I-Itraconazole I-Fluvoxamine I-Erythromycin I-Nefazodone	I-CYP3A4 inhibitors	Yebo	Yebo
Phenytoin ICarbamazepine I-Phenobarbital I-Lamotrigine	Ama-inducers we-CYP3A4	Yebo	Yebo
I-Hydrocodone I-Oxycodone I-Tramadol	Ama-opioid	Yebo	Yebo
Amitriptyline I-Nortriptyline Imipramine	I-Tricyclic antidepressants	Yebo	Yebo

Lokhu kungenzeka kungabi uhlu oluphelele lwako konke ukuhlangana kwezidakamizwa okungenzeka. Xhumana nodokotela ngayo yonke imithi okungenzeka uyayiphuza.

Izexwayiso zeKlonopin neXanax

Kokubili iKlonopin neXanax banezexwayiso kumalebula abo ezidakamizwa mayelana nokusebenzisa i-benzodiazepines enama-opioid . Ukuhlanganiswa kwe-benzodiazepines nama-opioid kungaholela ekudambiseni, ukuphefumula okungajulile, ikhoma nokufa. Ngalesi sizathu, le mithi akufanele ithathwe ndawonye. Uma kufanele zihlanganiswe ndawonye, ​​imithamo yazo kufanele ibhekwe noma ilungiswe ukuqinisekisa ukuphepha.

AmaBenzodiazepines — ngezinye izikhathi abizwa ngokuthi ama-benzos — avame ukuhlukunyezwa. Labo abanomlando wokusebenzisa kabi izidakamizwa esikhathini esedlule bangaba sengozini enkulu yokuhlukunyezwa nokuncika kuma-benzodiazepines. IKlonopin neXanax kukhona ISheduli IV izidakamizwa njengoba zihlukaniswe yi-DEA e-United States.

I-Benzodiazepines yenzelwe ukusetshenziswa kwesikhashana futhi akumele iyekwe ngokungazelelwe. Ukumisa le mithi ngaphandle kokunciphisa amanani ayo kungaholela ezimpawu zokuhoxa.

Ezimweni ezimbi kakhulu, izimpawu zokuhoxa zingasongela impilo futhi zibandakanye ukukhathazeka okuphindayo, ukuqwasha nokuquleka. Ngenxa yesimo esisebenza okwesikhashana seXanax, ukuhoxa kungahle kwenzeke ngeXanax uma kuqhathaniswa neKlonopin.

Imibuzo ebuzwa njalo ngeKlonopin vs. Xanax

Kuyini iKlonopin?

I-Klonopin iyi-benzodiazepine esebenza isikhathi eside eyi-FDA evunyelwe ukwelapha ukuphazamiseka nokwethuka. Itholakala kumaphilisi akhululwa ngokushesha nangomlomo. I-Klonopin ingasetshenziselwa ukuphazamiseka kokuthathwa kwabantu abadala abaneminyaka engu-18 nangaphezulu kanye nezingane ezineminyaka eyishumi.

Kuyini iXanax?

I-Xanax iyi-benzodiazepine esebenza okwesikhashana esetshenziselwa ukwelapha ukuphazamiseka kokukhathazeka nokuphazamiseka kovalo. Kuza njengethebhulethi yomlomo, ithebhulethi ehlukaniswa ngomlomo, ithebhulethi ekhishwa isikhathi eside, noketshezi ngomlomo. I-Xanax ijwayele ukunikezwa abantu abadala abaneminyaka engu-18 nangaphezulu.

Ngabe iKlonopin neXanax ziyafana?

IKlonopin neXanax akufani. IKlonopin ihlala isikhathi eside emzimbeni uma kuqhathaniswa neXanax. I-Klonopin ingasetshenziselwa ukwelapha izinhlobo ezithile zokubanjwa kwabantu abadala nezingane.

Ngabe iKlonopin noma iXanax ingcono?

Kokubili i-Klonopin ne-Xanax yizindlela zokwelapha eziphumelelayo zezimpawu zokukhathazeka nokuhlaselwa ukwesaba. I-Klonopin ingathathwa kanye noma kabili nsuku zonke kwezinye izimo ngenkathi i-Xanax ingadinga ukuthathwa kaningi ngosuku. Izimpawu zokuhoxa zingaba namathuba amaningi okuthi zenzeke ngeXanax. Xhumana nodokotela wakho ukuze uthole ukuthi iyiphi indlela yokwelashwa engcono kakhulu ongayisebenzisa.

Ngingayisebenzisa yini iKlonopin noma iXanax ngenkathi ngikhulelwe?

I-Klonopin ne-Xanax azinconywa ukuthi zisetshenziswe ngesikhathi sokukhulelwa. Kukhona kungenzeka ukuthi le mithi ingadala ukukhubazeka kokuzalwa . Ochwepheshe abaningi bezokwelapha bazoncoma ukugwema ama-benzodiazepines uma ukhulelwe. Buza kumhlinzeki wakho wezokunakekelwa kwempilo ukuthola izindlela zokwelashwa ezitholakalayo ngenkathi ukhulelwe.

Ngingayisebenzisa iKlonopin noma iXanax ngotshwala?

Utshwala bungahlanganisa imiphumela emibi yeKlonopin noma i-Xanax futhi buholele emiphumeleni emibi kakhulu uma ithathwa ndawonye. Ukuphuza utshwala ngenkathi useKlonopin noma eXanax kungaholela ekozeleni okukhulu, ekulahlekelweni kokusebenzisana, nasekucindezelekeni kokuphefumula. Kuningi amacala we-coma nokucindezeleka kokuphefumula kulabo abahlanganisa utshwala nama-benzodiazepines.

IKlonopin ikwenza uzizwe kanjani?

I-Klonopin inemiphumela ye-anxiolytic engasiza ukuphumula nokuzola kwezimpawu zokukhathazeka. Ngemuva kokuthatha iKlonopin, ungazizwa ukhululekile futhi ungesabi noma ucindezelekile. Labo abaphila nokukhathazeka njalo bangazizwa bekwazi ukuqhubeka nempilo yabo yansuku zonke ngaphandle kokukhathazeka njalo.

Ngabe iKlonopin ingadala izingqinamba zempilo yengqondo?

IKlonopin ayizibangeli ngqo izingqinamba zempilo yengqondo. Uma ithathwa njengoba kunqunyiwe, iKlonopin ingasiza ekwelapheni ukukhathazeka okwehlisayo, ukuphazamiseka kovalo nokuquleka. Kodwa-ke, uma uhlukumeza iKlonopin noma uncike kuyo ngokomzimba, kungenzeka ukuthi ube nezimpawu zokuhoxa ngemuva kokuyeka ukwelashwa. Izimpawu zokuhoxa ingafaka izinguquko ekuziphatheni njengokucasulwa, ukuguquguquka kwemizwelo, nokuphazamiseka. I-Klonopin kufanele ifakwe kancane ukuze igweme izimpawu zokuhoxa.