ILexapro vs. Zoloft: 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
ILexapro (escitalopram) neZoloft (sertraline) ngama-SSRI (i-serotonin reuptake inhibitors ekhethiwe) akhonjiswe ekwelapheni ukucindezeleka nezinye izimo zengqondo. I-SSRI isebenza ngokwandisa amazinga e-serotonin ebuchosheni, okusiza ukuthuthukisa izimpawu. Yomibili imishanguzo kadokotela ivunywa yi-Food and Drug Administration (FDA). Eminye imishanguzo ekilasini le-SSRI lemithi iProzac (i-fluoxetine), uCelexa (citalopram), ne-Paxil (i-paroxetine). Yize i-Lexapro ne-Zoloft befana, banokuhluka okuphawulekayo kuzinkomba zabo kanye nezindleko.
OKUSHIWO: Mayelana neLexapro | Mayelana neZoloft | Mayelana neProzac | Mayelana noCelexa | Mayelana nePaxil
Uyini umehluko omkhulu phakathi kweLexapro vs. Zoloft?
| Umehluko omkhulu phakathi kweLexapro vs. Zoloft | ||
|---|---|---|
| I-Lexapro | Zoloft | |
| Isigaba sezidakamizwa | I-serotonin reuptake inhibitor ekhethiwe (SSRI) | I-serotonin reuptake inhibitor ekhethiwe (SSRI) |
| Isimo somkhiqizo / ejwayelekile | Umkhiqizo nokujwayelekile | Umkhiqizo nokujwayelekile |
| Ngubani igama elijwayelekile? | I-Escitalopram oxalate | Sertraline hydrochloride |
| Izidakamizwa zingena ngaziphi izinhlobo? | Ithebhulethi noketshezi | Ithebhulethi noketshezi |
| Uyini umthamo ojwayelekile? | Abantu abadala: 10 mg nsuku zonke; umkhawulo ongu-20 mg ngosuku (umkhawulo ongu-10 mg ngosuku kubantu abadala) Osemusha: kuyehluka; isilinganiso se-10 mg nsuku zonke Taper kancane kancane lapho uyeka | Abantu abadala: 50-200 mg nsuku zonke; umkhawulo ongu-200 mg ngosuku Izingane: kuyehluka; isilinganiso sama-25 kuye kwangama-50 mg nsuku zonke Taper kancane kancane lapho uyeka |
| Yelashwa isikhathi esingakanani? | Izinyanga eziyisithupha kuya onyakeni owodwa; iziguli eziningi ziyaqhubeka iminyaka | Iyahluka; izinyanga kuya eminyakeni |
| Ubani ovame ukusebenzisa umuthi? | Umuntu osemusha okhulile; kwesinye isikhathi kunqunyiwe off-ilebula izingane ezineminyaka engu-6 nangaphezulu | Iminyaka engu-6 kuye kumuntu omdala |
Imibandela ephathwa yiLexapro neZoloft
ILexapro yi-SSRI ekhonjiswe ukwelashwa okunamandla nokwelashwa kwesifo esikhulu sokucindezeleka (MDD) ezinganeni ezineminyaka yobudala eyi-12-17 kanye nabantu abadala, kanye nokwelashwa okunamandla kwesifo sokukhathazeka okujwayelekile (GAD) kubantu abadala.
I-Zoloft iyi-SSRI ekhonjiswe ekwelapheni ukucindezeleka okukhulu (MDD), i-obsessive-compulsive disorder (OCD), i-panic disorder (PD), i-post-traumatic stress disorder (PTSD), i-social anxiety disorder (SAD), ne-premenstrual dysphoric disorder (PMDD).
| Isimo | I-Lexapro | Zoloft |
| Isifo Esikhulu Sokucindezeleka (MDD) | Yebo | Yebo |
| Ukukhathazeka Okuvamile (GAD) | Yebo | Akunjalo |
| Isifo se-Obsessive-compulsive (OCD) | Akunjalo | Yebo |
| I-Panic disorder (PD) | Akunjalo | Yebo |
| Isifo sokucindezeleka kwangemva kwenhlekelele (PTSD) | Akunjalo | Yebo |
| Isifo sokukhathazeka komphakathi (SAD) | Akunjalo | Yebo |
| Isifo se-premenstrual dysphoric (PMDD) | Akunjalo | Yebo |
Ngabe iLexapro noma iZoloft isebenza kangcono?
ILexapro iboniswe ku- izifundo zokwelashwa ukusebenza ngempumelelo enkulu kune-placebo ekwelapheni i-Major Depression Disorder kanye ne-Generalized Anxiety Disorder.
UZoloft uboniswe ku- izifundo zokwelashwa ukusebenza ngempumelelo kakhulu kune-placebo ekwelapheni ukucindezeleka okukhulu, i-panic disorder, i-PTSD, i-OCD, i-SAD, ne-PMDD.
Ucwaningo lwango-2014 olushicilelwe ku- I-Psychopharmacology Yomtholampilo Yomhlaba Wonke uphakamise ukuthi iLexapro ingasebenza ngempumelelo futhi ibekezelelwe kangcono kuneZoloft noma iPaxil. ILexapro inokusebenzisana okuhlukile kwesayithi okubopha okungaholela ekusebenzeni kangcono nokubekezelelana. Noma kunjalo, enye funda ithole ukuthi iZoloft iholele emiphumeleni okungenani ebingcono noma ingcono kuneziguli ezisebenzisa iLexapro noma iCelexa ngokulandela ukunamathela, izindleko zezidakamizwa, kanye nokusetshenziswa kwemali kwezokwelapha.
Umuthi osebenza kahle kakhulu, kepha kufanele unqunywe udokotela wakho kuphela ngokubheka isimo (s) sakho sezempilo, umlando wezokwelapha, kanye neminye imithi oyiphuzayo.
Ufuna intengo engcono ku-Zoloft?
Bhalisela izexwayiso zentengo yeZoloft bese uthola ukuthi intengo ishintsha nini!
Thola Izaziso Zentengo
Ukuhlanganiswa nokuqhathaniswa kwezindleko kweLexapro vs. Zoloft
ILexapro imbozwa imishwalense yomibili kanye neMedicare Part D, i-generic izoba ne-copay ephansi kakhulu, kanti igama lomkhiqizo lingaba ne-copay ephakeme kakhulu noma lingahlanganiswa nhlobo. ILexapro itholakala kumathebulethi angu-5, 10, noma ama-20 mg (brand noma generic) futhi njengoketshezi ku-5 mg / 5 ml solution yomlomo (ejwayelekile). ILexapro ibiza cishe u- $ 379 ngamathebulethi angama-30 wamaphilisi wegama lomkhiqizo ayi-10 mg; i-Medicare Part D copay yama-generic (10 mg, amaphilisi angama-30) imvamisa isukela ku- $ 0-30, futhi ngekhadi le-SingleCare ungalindela ukukhokha u- $ 9 kuye ku- $ 45 kuya ngekhemisi lakho.
Zama ikhadi lesaphulelo somuthi we-SingleCare
I-Zoloft imbozwa imishwalense kanye ne-Medicare Part D, i-generic izoba ne-copay ephansi kakhulu, kanti i-brand ingaba ne-copay ephakeme kakhulu noma ingambozwa nhlobo. I-Zoloft itholakala kumathebulethi angama-25, 50, noma ama-100 mg (brand noma generic) futhi njengoketshezi ku-20 mg / ml solution yomlomo (ejwayelekile). I-Zoloft ibiza cishe ama- $ 365 ngamathebulethi angama-30 wamaphilisi wegama lomkhiqizo ayi-100 mg; i-Medicare Part D copay ye-generic (100 mg, amaphilisi angama-30) imvamisa isukela ku- $ 0-13, futhi ngekhadi le-SingleCare ungalindela ukukhokha u- $ 9 kuye ku- $ 31.
| I-Lexapro | Zoloft | |
| Ngokuvamile embozwe umshwalense? | Yebo | Yebo |
| Imbozwe ngokujwayelekile yi-Medicare Part D? | Yebo (okujwayelekile; umkhiqizo ungaba ne-copay ephezulu noma kungenzeka ungambozwa) | Yebo (okujwayelekile; umkhiqizo ungaba ne-copay ephezulu noma kungenzeka ungambozwa) |
| Umthamo ojwayelekile | 5, 10, noma 20 mg amaphilisi (brand noma generic), 5 mg / 5 ml solution yomlomo (ejwayelekile) | 25, 50, noma amaphilisi ayi-100 mg (brand noma generic), 20 mg / ml solution yomlomo (ejwayelekile) |
| I-Medicare copay ejwayelekile | $ 0-30 (ejwayelekile) | $ 0-13 (ejwayelekile) |
| Izindleko ze-SingleCare | $ 9-45 | $ 9-31 |
Imiphumela emibi ejwayelekile yeLexapro neZoloft
Zombili lezi zidakamizwa zinohlu olude lwezexwayiso ezibucayi, ezifakiwe esigabeni sokuxwayisa esingezansi. Ngokwengeziwe, ungahlangabezana nokunye, okuvame kakhulu imiphumela emibi kusuka eLexapro noma eZoloft.
Izenzo ezimbi kakhulu ezivame ukusabela zeLexapro ikhanda, isisu / isicanucanu, ukungasebenzi ngokocansi / ukubambezeleka kokuphuma ejaculatory, ukuqwasha, ukukhathala, nokulala.
Ukuphendula okuvame kakhulu okuphikisayo okuvela eZoloft ukucanuzela kwenhliziyo, isifo sohudo, ukungasebenzi kahle ngokocansi / ukubambezeleka kokuphuma komlomo, umlomo owomile, ukuqwasha nokulala.
Ufuna intengo engcono kakhulu kuLexapro?
Bhalisela izexwayiso zentengo yeLexapro bese uthola ukuthi intengo ishintsha nini!
Thola Izaziso Zentengo
Okuqhamuka uma udla imishanguzo ziyahlukahluka; lolu uhlu oluyingxenye. Umhlahlandlela wemithi uzokunikezwa ngomuthi omusha noma wokugcwalisa kabusha iLexapro noma iZoloft ngolwazi ngemiphumela engemihle nezinye izixwayiso. Xhumana nochwepheshe wezokunakekelwa kwezempilo ukuthola uhlu oluphelele lwemiphumela engemihle.
| I-Lexapro | Zoloft | |||
| Imiphumela emibi | Kusebenza? | Imvamisa | Kusebenza? | Imvamisa |
| Ubuhlungu bekhanda | Yebo | 24% | Yebo | % ayinikiwe |
| Isicanucanu | Yebo | 18% | Yebo | 26% |
| Uhudo | Yebo | 8% | Yebo | amashumi amabili% |
| Ukuphazamiseka kokuchama | Yebo | 14% | Yebo | 8% |
| Umlomo owomile | Yebo | 9% | Yebo | 14% |
| Ukulala | Yebo | 13% | Yebo | ishumi nanye% |
| Ukuqwasha | Yebo | 12% | Yebo | amashumi amabili% |
Umthombo: I-DailyMed (Lexapro) , I-DailyMed (Zoloft)
Ukusebenzisana Kwezidakamizwa kweLexapro vs. Zoloft
Ngoba zombili lezi zidakamizwa zisesigabeni esisodwa, zinokusebenzisana kwezidakamizwa okufanayo.
Ama-inhibitor e-MAO afana ne-selegiline akufanele asetshenziswe kungakapheli izinsuku eziyi-14 kweLexapro noma iZoloft; inhlanganisela ingakhuphula ubungozi be isifo se-serotonin , isimo esiphuthumayo esisongela impilo ngenxa yokwakheka kwe-serotonin.
Ama-Triptans asetshenziselwa ukwelapha i-migraines, njenge-Imitrex (sumatriptan), kanye nezinye izidambisi-mkhuba, ezifana no-Elavil noma uCymbalta, akufanele zisetshenziswe zihlangene neLexapro noma iZoloft ngenxa yobungozi be-serotonin syndrome.
Eminye imishanguzo engasebenzisana neLexapro noma iZoloft ifaka ama-macrolide antibiotic afana neZithromax, ama-NSAID (izidakamizwa ezingezona ukuvuvukala) ezingezona-steroidal ezifana neMobic, noma amaphilisi ezinhlungu afana ne-Ultram.
Utshwala akufanele busetshenziswe neLexapro noma iZoloft.
| Izidakamizwa | Isigaba Sezidakamizwa | I-Lexapro | Zoloft |
| I-Eldepryl (selegiline), iParnate (tranylcypromine) | Ama-MAOIs (Monoamine oxidase inhibitors) | Yebo | Yebo |
| Utshwala | Utshwala | Yebo | Yebo |
| Imitrex (sumatriptan), njll | Ama-Triptans / ama-agonists we-serotonin receptor agonists | Yebo | Yebo |
| I-Coumadin (warfarin) | Ama-anticoagulants | Yebo | Yebo |
| ISt. John's Wort | Isengezo | Yebo | Yebo |
| I-Ultram (tramadol) | I-Painkiller | Yebo | Yebo |
| I-Zithromax (azithromycin), i-Biaxin (i-clarithromycin), i-erythromycin | Ama-antibiotic e-Macrolide | Yebo | Yebo |
| I-Motrin (ibuprofen), naproxen, iMobic (meloxicam) | Ama-NSAID | Yebo | Yebo |
| I-Effexor (venlafaxine), iCymbalta (duloxetine), iPristiq (desvenlafaxine) | Ama-SNRIs | Yebo | Yebo |
| I-Elavil (amitriptyline), Pamelor (nortriptyline) | I-TCA (tricyclic antidepressants) | Yebo | Yebo |
Lolu akulona uhlu oluphelele lokusebenzisana kwezidakamizwa. Xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo ukuthola iseluleko sezokwelapha.
Izexwayiso zeLexapro neZoloft
Kokubili I-Lexapro futhi Zoloft woza nesixwayiso sebhokisi elimnyama le-FDA lemithi elwa nokudangala nokuzibulala. Izingane, intsha, kanye nabantu abadala abancane (abangafika eminyakeni yobudala engama-24) abathatha imishanguzo yokulwa nengcindezi basengozini enkulu yokuzibulala nokuziphatha. Zonke iziguli ezithola imishanguzo yokucindezela kufanele zibhekwe ngokucophelela.
Ezinye izixwayiso ngazo zombili izidakamizwa zifaka:
- Ubungozi be-serotonin syndrome: Isimo esiphuthumayo esisongela impilo esibangelwa i-serotonin eningi kakhulu. Iziguli kufanele ziqashwe ngokucophelela ngezimpawu ezibandakanya ukusangana, ukuquleka, nokuphazamiseka.
- Ukuyekiswa: Lapho uyeka omunye wale mithi, izimpawu ezinjengokuxokozela kungenzeka. iziguli kufanele zisuse umuthi kancane kakhulu.
- Ukuquleka: Ezigulini ezinokuquleka, iLexapro noma iZoloft kufanele isetshenziswe ngokuqapha.
- I-Hyponatremia (i-sodium ephansi) ngenxa yesifo se-secretion engafanele ye-antidiuretic hormone (SIADH): Iziguli zingahle zizwe ikhanda, ubunzima bokugxila, ukukhubazeka kwememori, ukudideka, ubuthakathaka, nokungazinzi, okungaholela ekuweni. Amacala abucayi angenzeka. Iziguli kufanele zifune ukwelashwa okuphuthumayo uma kwenzeka izimpawu, futhi i-SSRI kufanele imiswe.
- I-Angle-Closed Glaucoma: Ama-SSRI kufanele agwenywe ezigulini ezinama-engeli amancane angalashwa angalashwa.
- Ukopha: Ama-SSRI angandisa ingozi yokopha; ukwanda kwengozi ngokusetshenziswa okuhambisanayo kwe-aspirin, ama-NSAID, noma i-warfarin.
- Ukwenza kusebenze i-mania noma i-hypomania: Ezigulini ezinesifo se-bipolar, i-antidepressant inganciphisa isiqephu esixubekile / somuntu.
ILexapro noma iZoloft kufanele isetshenziswe kuphela ekukhulelweni uma inzuzo kumama inkulu kunobungozi enganeni. Ukumisa umuthi kungadala ukubuyela ekucindezelekeni noma ekukhathazekeni. Ngakho-ke, iziguli kufanele zihlolwe ngamacala ngamacala.
Uma usuvele useLexapro noma eZoloft futhi uthola ukuthi ukhulelwe, xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ngokushesha. ILexapro noma iZoloft kufanele isetshenziswe ngokuqapha komama abancelisayo, futhi ingane kufanele ihlolwe nganoma yikuphi ukusabela okungathandeki.
Isixazululo somlomo seZoloft siqukethe u-12% wotshwala futhi akufanele sisetshenziswe ngenkathi ukhulelwe noma usenga, ngenxa yokuqukethwe kotshwala.
Imibuzo ebuzwa njalo ngeLexapro vs. Zoloft
Kuyini iLexapro?
ILexapro (escitalopram) iyi-SSRI ekhonjiswe ukwelashwa okunamandla nokugcinwa kwesifo esikhulu sokucindezeleka (MDD) ezinganeni ezineminyaka yobudala eyi-12 kuya kwengu-17 kanye nabantu abadala, kanye nokwelashwa okunamandla kwesifo sokukhathazeka okujwayelekile (GAD) kubantu abadala.
Kuyini iZoloft?
I-Zoloft (i-sertraline) i-serotonin reuptake inhibitor ekhethiwe ekhonjiswe ukwelashwa kwesifo esikhulu sokudangala (MDD), i-obsessive-compulsive disorder (OCD), i-panic disorder (PD), i-post-traumatic stress disorder (PTSD), i-social anxiety disorder (SAD) , kanye ne-premenstrual dysphoric disorder (PMDD).
Ingabe iLexapro vs. Zoloft iyafana?
ILexapro neZoloft yimishanguzo yomibili ye-SSRI, kepha izinkomba zayo ziyahluka (bheka ngenhla). Ngoba basesigabeni esifanayo, banokuxhumana okuningi kwezidakamizwa nemiphumela emibi.
Ngabe iLexapro vs. Zoloft ingcono?
Kuya ngesimo. Umuthi ngamunye unezinkomba ezihlukile; eyodwa ingahle ilungele izimo zakho. Xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo ukukusiza ukuthi unqume ukuthi imuphi umuthi ongcono kuwe.
Ngingayisebenzisa yini iLexapro vs. Zoloft ngenkathi ngikhulelwe?
Kuya ngesimo. Xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo ukuthola izeluleko. Udokotela wakho uzolinganisa izinzuzo zokuthatha i-antidepressant vs. ingozi enganeni. Abanye odokotela bazonikeza umthamo ophansi we i-antidepressant ngenkathi ukhulelwe . Uma usuvele ukuLexapro noma iZoloft futhi uthola ukuthi ukhulelwe, thintana ne-OB / GYN yakho ngokushesha ukuthola izeluleko. Uma kunjalo ukuncelisa ibele , thintana ne-OB / GYN yakho futhi.
Ngingayisebenzisa iLexapro vs. Zoloft ngotshwala?
Cha. Ukuhlanganisa imishanguzo elwa notshwala kungazenza zibe zimbi izimpawu zokucindezeleka noma ukukhathazeka, kuphazamise ukucabanga kwakho nokuqapha, futhi kwandise ukuthambeka nokuzela.
Iyiphi i-SSRI enhle kakhulu yokukhathazeka?
Ama-SSRI angasiza kakhulu ekwelapheni ukukhathazeka, kepha kungcono ukubonisana nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokuthi yikuphi okungcono kakhulu kuwe, ucabangela umlando wakho wezokwelapha, izimo zezokwelapha, neminye imithi oyiphuzayo.
Ingabe i-Lexapro noma i-Zoloft ibangela ukuzuza kwesisindo esithe xaxa?
Wonke umuntu unolwazi oluhlukile; abanye abantu abanalo ushintsho esisindweni, kanti abanye bangathola noma banciphise isisindo ngenkathi bekule mithi.
