INexium vs. Prilosec: 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
Ingabe uhlangabezana nesilungulela? Uma kunjalo, awuwedwa —Abantu baseMelika abangaphezu kwezigidi ezingama-60 baba nesilungulela okungenani kanye ngenyanga, futhi eziningi zalezi ziguli zinezimpawu zesilungulela nsuku zonke.
I-Nexium (esomeprazole magnesium) ne-Prilosec (omeprazole magnesium) yimithi emibili ekilasini lezidakamizwa elibizwa nge-proton pump inhibitors, noma ama-PPIs. Ama-PPIs asebenza ngokuvimba nokunciphisa ukukhiqizwa kwe-asidi, ngaleyo ndlela kuvinjelwe isilungulela nokufeza ukulawula i-asidi.
Le mithi ivunywa yi-FDA. Zisetshenziselwa ukwelapha izimpawu zesifo se-reflux sesisu kanye nezinye izimo zesisu. Yize zombili i-Nexium ne-Prilosec zingama-PPIs, zinokungafani okuthile, esikuxoxa ngezansi.
Uyini umehluko omkhulu phakathi kweNexium ne Prilosec?
I-Nexium (Yini i-Nexium?) Yaziwa ngegama layo elijwayelekile le-esomeprazole, kanti i-Prilosec (Yini i-Prilosec?) Yaziwa ngegama layo elijwayelekile le-omeprazole. Amagama ejwayelekile azwakala efana ngesizathu — i-esomeprazole ingumakhemikhali we-omeprazole. Yomibili le mithi yakhiwe ngamakhemikhali afanayo kodwa ihlelwe ngezindlela ezingafani.
Kokubili i-Nexium ne-Prilosec kuyatholakala nge-brand ne-generic, futhi njengemithi kadokotela kanye ne-counter-counter njenge-Nexium OTC ne-Prilosec OTC. Umthamo nobude bokwelashwa kuyahluka ngokweminyaka nesimo eselashwa.
| Umehluko omkhulu phakathi kwe-Nexium ne-Prilosec | ||
|---|---|---|
| I-Nexium | Prilosec | |
| Isigaba sezidakamizwa | IProton pump inhibitor (PPI) | IProton pump inhibitor (PPI) |
| Isimo somkhiqizo / ejwayelekile | Umkhiqizo nokujwayelekile | Umkhiqizo nokujwayelekile |
| Ngubani igama elijwayelekile? | I-Esomeprazole magnesium | I-Omeprazole magnesium |
| Izidakamizwa zingena ngaziphi izinhlobo? | I-Rx: amaphilisi okwehlisa ukubambezeleka, ukumiswa, amaphakethe, umjovo OTC: amaphilisi, amaphilisi amancane, amaphilisi | I-Rx: amaphilisi okwehlisa ukubambezeleka, ukumiswa I-OTC: amaphilisi okukhipha okulibazisekile |
| Uyini umthamo ojwayelekile? | Iyahluka ngokukhombisa: imvamisa i-20-40 mg kanye noma kabili ngosuku (umthamo wabantu abadala) | Iyahluka ngokukhombisa: imvamisa i-20-40 mg kanye noma kabili ngosuku (umthamo wabantu abadala) |
| Yelashwa isikhathi esingakanani? | Izinsuku eziyi-10 kuye ezinyangeni eziyisithupha, iziguli eziningi zithatha isikhathi eside | Izinsuku eziyi-10 kuya emavikini ayisishiyagalombili, iziguli eziningi zithatha isikhathi eside |
| Ubani ovame ukusebenzisa umuthi? | Abantu abadala nezingane | Abantu abadala nezingane |
Ufuna intengo engcono kakhulu ku-Nexium?
Bhalisela izexwayiso zentengo yeNexium bese uthola ukuthi intengo ishintsha nini!
Thola izexwayiso zentengo
Izimo eziphathwe yi-Nexium vs. Prilosec
I-Nexium ne-Prilosec zombili zisetshenziselwa ukwelashwa kwesifo se-reflux se-gastroesophageal (GERD), ukuqeda uH. Pylori ukwehlisa ubungozi bokuphindaphinda kwesilonda se-duodenal, kanye nezimo ze-pathological hypersecretory.
I-Nexium nayo ikhonjisiwe ekwehliseni ubungozi besilonda esiswini esihlobene ne-NSAID.
I-Prilosec nayo ikhonjisiwe ekwelashweni kwesilonda esisebenzayo i-duodenal ulcer noma i-benign gastric ulcer esebenzayo, ukwelashwa kwe-erosive esophagitis (EE) ngenxa ye-GERD exhunyaniswe ne-asidi, kanye nokugcinwa kokuphulukiswa kwe-EE ngenxa ye-GERD exhunyaniswe ne-asidi.
| Isimo | I-Nexium | Prilosec |
| Ukwelashwa kwesifo se-reflux se-gastroesophageal (GERD) | Yebo | Yebo |
| Ukunciphisa ubungozi besilonda esiswini esihlobene ne-NSAID | Yebo | Ngaphandle kwelebula |
| H. pylori ukuqeda ukunciphisa ubungozi bokuphindaphinda kwesilonda se-duodenal | Yebo | Yebo |
| Izimo ze-pathological hypersecretory (kufaka phakathi iZollinger-Ellison Syndrome) | Yebo | Yebo |
| Ukwelashwa kwesilonda esisebenzayo se-duodenal | Ngaphandle kwelebula | Yebo |
| Ukwelashwa kwesilonda esiswini esisebenza kahle | Ngaphandle kwelebula | Yebo |
| Ukwelashwa kwe-esophagitis erosive (EE) ngenxa ye-GERD ye-acid-mediated | Ngaphandle kwelebula | Yebo |
| Ukulondolozwa kokuphulukiswa kwe-EE ngenxa ye-GERD ehlangene ne-asidi | Ngaphandle kwelebula | Yebo |
Ingabe i-Nexium noma i-Prilosec isebenza kangcono?
Ku- izilingo kuqhathaniswa imithamo ejwayelekile ye-Nexium 40 mg ne-Prilosec 20 mg (kanye namanye ama-PPIs) ezigulini ezinezimpawu ze-GERD, i-Nexium inikeze ukulawulwa kwe-asidi kakhulu kuzo zonke izidakamizwa. Kwenye funda , iziguli ezelashwa nge-Nexium zathola ukukhululeka kwezimpawu ezisheshayo kuneziguli ezelashwa nge-Prilosec namanye ama-PPIs. Yize i-Nexium ingasebenza kangcono, zombili lezi zidakamizwa zithandwa kakhulu ngabahlinzeki.
Umuthi omuhle kakhulu yilowo okusebenzela kangcono, nemiphumela engemihle okungenani. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo, ongakusiza ukhethe umuthi ongcono kakhulu kuwe ngokuya ngezimpawu zakho, izimo zezempilo, nezinye izidakamizwa ozithathayo ezingasebenzisana neNexium noma iProlosec.
Ufuna intengo ehamba phambili ku-Prilosec?
Bhalisela izexwayiso zentengo ye-Prilosec bese uthola ukuthi intengo ishintsha nini!
Thola izexwayiso zentengo
Ukuhlanganiswa kanye nokuqhathaniswa kwezindleko kwe-Nexium vs. Prilosec
Kokubili i-Nexium ne-Prilosec kuvame ukumbozwa umshwalense kanye ne-Medicare Part D. Imvamisa, uhlobo lomuthi ojwayelekile kadokotela limboziwe. Izinhlobo ze-OTC zivame ukumbozwa kuphela (ngencwadi kadokotela) ngaphansi komshwalense othile. Ama-Copays ayahluka ngohlelo.
Inani elikhishwa ephaketheni lamaphilisi angama-30 we-generic Nexium 40 mg lingaba ngaphezu kwama- $ 300. Ungakhokha ngaphansi kwe- $ 50 ngokusebenzisa ikhadi le-SingleCare emakhemisi abambe iqhaza
Inani elikhishwa ephaketheni lamaphilisi angama-30 we-generic Prilosec 20 mg lilinganiselwa ku- $ 50 noma ngaphezulu. Ngekhuphoni le-SingleCare omeprazole intengo iqala ku- $ 15 kuye ngokuthi iyiphi ikhemisi oyisebenzisayo.
| I-Nexium | Prilosec | |
| Ngokuvamile embozwe umshwalense? | Yebo, njenge-Rx ejwayelekile (imvamisa akuyona i-OTC) | Yebo, njenge-Rx ejwayelekile (imvamisa akuyona i-OTC) |
| Imbozwe ngokwejwayelekile yi-Medicare Part D? | Yebo, njenge-Rx ejwayelekile (imvamisa akuyona i-OTC) | Yebo, njenge-Rx ejwayelekile (imvamisa akuyona i-OTC) |
| Umthamo ojwayelekile | Isibonelo: 40 mg capsule nsuku zonke | Isibonelo: 20 mg capsule nsuku zonke |
| Inkokhelo ejwayelekile yeMedicare Part D | $ 14 | $ 0- $ 20 |
| Izindleko ze-SingleCare | $ 46 | $ 9- $ 20 |
Thola isigqebhezana somuthi
Imiphumela emibi ejwayelekile yeNexium vs. Prilosec
Imiphumela emibi kakhulu ye-Nexium ubuhlungu besisu, isifo sohudo, ikhanda elibuhlungu, nesicanucanu. Imiphumela emibi kakhulu ye-Prilosec yikhanda, ubuhlungu besisu, isifo sohudo kanye nesicanucanu. Yomibili le mithi ivame ukubekezelelwa kahle.
Lolu akulona uhlu olugcwele lwemiphumela emibi. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ukuthola uhlu olugcwele lwemiphumela emibi.
| I-Nexium | Prilosec | |||
| Imiphumela emibi | Kusebenza? | Imvamisa | Kusebenza? | Imvamisa |
| Ubuhlungu besisu | Yebo | 3.8-5% | Yebo | 5% |
| Ukuqunjelwa | Yebo | amaphesenti amabili * | Yebo | amaphesenti amabili |
| Uhudo | Yebo | 4.3% | Yebo | 4% |
| Isicanucanu | Yebo | 4% * | Yebo | 4% |
| Ubuhlungu bekhanda | Yebo | 3.8% | Yebo | 7% |
| Ukuhlanza | Yebo | <1% | Yebo | 3% |
| Ukuqhuma kwesisu | Yebo | 3% * | Yebo | 3% |
| I-Rash | Yebo | <1% | Yebo | amaphesenti amabili |
* Amaphesenti awabikwanga kepha avele ngesilinganiso esifanayo ne-Prilosec
Umthombo: DailyMed ( I-Nexium ), IDailyMed ( Prilosec )
Ukusebenzisana kwezidakamizwa kwe-Nexium ne-Prilosec
Ngoba i-Nexium ne-Prilosec yimithi efanayo enezakhiwo ezifanayo, inokusebenzisana okufanayo kwezidakamizwa. Ama-PPI akufanele athathwe ngama-antiretrovirals. I-Nexium noma i-Prilosec inganciphisa amazinga e-atazanavir noma i-nelfinavir, ngakho-ke i-antiretroviral ibingeke kahle, futhi ukuxhumana kungadala ngisho nokumelana nemithi. Ngakolunye uhlangothi, ukuthatha i-saquinavir nge-PPI kunomphumela ophambene, kukhuphula amazinga e-saquinavir, okungaholela kubuthi.
Ukuhlanganisa i-Nexium noma i-Prilosec ne-digoxin kungakhuphula amazinga e-digoxin futhi kuholele kubuthi. Ukuthatha i-Nexium noma i-Prilosec nge-warfarin kungaholela emazingeni akhuphukile e-warfarin, angadala ukopha noma nokufa. I-Nexium noma i-Prilosec ingaxhumana ne-Plavix (clopidogrel), i-diazepam, i-cilostazol, nezinye izidakamizwa. Lolu akulona uhlu oluphelele lokusebenzisana kwezidakamizwa. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ukuthola uhlu oluphelele lokuhlangana kwezidakamizwa.
| Izidakamizwa | Isigaba Sezidakamizwa | I-Nexium | Prilosec |
| Atazanavir UNelfinavir I-Saquinavir | Izidambisigciwane | Yebo | Yebo |
| I-Digoxin | I-glycoside yenhliziyo | Yebo | Yebo |
| I-Warfarin | I-Anticoagulant | Yebo | Yebo |
| I-Diazepam | I-Benzodiazepine | Yebo | Yebo |
| I-Clopidogrel | I-anti-platelet | Yebo | Yebo |
| I-Cilostazol | IVasodilator | Yebo | Yebo |
| I-Rifampin Isibungu iSt | Ama-inducers we-CYP3A4 | Yebo | Yebo |
| Tacrolimus | I-Immunosuppressant | Yebo | Yebo |
| I-Citalopram Sertraline | I-SSRI antidepressant | Yebo | Yebo |
| Phenytoin | I-Anticonvulsant | Yebo | Yebo |
Izexwayiso ze-Nexium ne-Prilosec
- Yize i-PPI ingadala ukukhululeka kwezimpawu, kusengaba khona ukubulala. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ngesidingo sokuhlolwa.
- Izinkinga zezinso zingenzeka nganoma yisiphi isikhathi. I-PPI kufanele inqanyulwe uma kuvela izinkinga zezinso.
- Ama-PPI angakhuphula ubungozi bohudo obuhambisana neClostridium difficile. Iziguli kufanele zithathe umthamo ophansi kakhulu isikhathi esifushane.
- Ama-PPIs angahlotshaniswa nokuqhekeka kwamathambo (i-hip, isihlakala, noma umgogodla). Ingozi iphezulu ngamanani aphezulu, ngakho-ke iziguli kufanele zithathe umthamo ophansi kakhulu we-PPI isikhathi esifushane esisebenza kahle.
- I-cutaneous lupus erythematosus (CLE) ne-systemic lupus erythematosus (SLE) ibikwe ezigulini ezithatha ama-PPIs.
- Ukwelashwa kwesikhathi eside (ngaphezu kweminyaka emithathu) kungadala ukushoda kwe-B-12.
- I-magnesium ephansi (enezimpawu noma ezingenazo) kungenzeka. Akuvamile futhi kuvame ukuvela ezigulini ezithathe i-PPI isikhathi esingaphezu konyaka. Xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo mayelana nokuqapha amazinga we-magnesium.
- Ukusetshenziswa kwe-PPI kuhlotshaniswa nengozi eyengeziwe yama-fundic gland polyps, futhi ingozi inyuka ngokusetshenziswa kwesikhathi eside. Iziguli kufanele zithathe i-PPI isikhathi esifushane ngangokunokwenzeka.
Imibuzo ebuzwa njalo nge-Nexium vs. Prilosec
Yini i-Nexium?
I-Nexium, noma i-esomeprazole, iyi-proton pump inhibitor (PPI) esetshenziselwa ukwelapha izimpawu ze-acid reflux nezinye izimo zesisu (GI).
Yini iProlosec?
I-Prilosec, noma i-omeprazole, yi-PPI esetshenziselwa ukwelapha izimpawu ze-acid reflux nezinye izimo ze-GI.
Ngabe i-Nexium ne-Prilosec ziyefana?
INexium ne Prilosec basesigabeni sezidakamizwa esibizwa nge proton pump inhibitors futhi bayafana kakhulu. Eqinisweni, zingama-isomer womunye nomunye. Eminye imishanguzo esigabeni se-PPI okungenzeka uke wezwa ngayo ihlanganisa i-Aciphex (rabeprazole), iProtonix (pantoprazole), ne-Prevacid (lansoprazole). Ama-PPI akufanele adidaniswe nama-H2 blocker, esinye isigaba semithi yesilungulela esetshenziselwa i-GERD, efaka iPepcid (famotidine).
Ngabe i-Nexium noma i-Prilosec ingcono?
Yomibili le mithi iyasebenza ekwelapheni i-GERD nezinye izimo ze-GI. Kunezifundo ezithile (bheka ngenhla) eziphakamisa ukuthi i-Nexium ingahle isebenze kakhulu futhi isebenze ngokushesha kune-Prilosec namanye ama-PPIs. Kodwa-ke, yomibili le mithi ihlala ithandwa kakhulu futhi ibekezelelwa kahle.
Ngingayisebenzisa yini i-Nexium noma i-Prilosec ngikhulelwe?
Akunalwazi olwanele ukusho ngokuvamile ukuthi ungathatha i-Nexium noma iProlosec ngenkathi ukhulelwe . Xhumana ne-OB-GYN yakho ukuthi kuphephile yini ukuthatha i-Nexium noma i-Prilosec uma ukhulelwe. Uma usuvele uthatha owodwa wale mithi, bese uthola ukuthi ukhulelwe, thintana ne-OB-GYN yakho ukuthola isiqondiso.
Ngingayisebenzisa yini i-Nexium noma i-Prilosec ngotshwala?
Imininingwane yezokwelapha ye- I-Nexium futhi Prilosec ayikhulumi ngokuqondile ngotshwala. Kodwa-ke, utshwala bungazenza zibe zimbi izimpawu ze-GERD nezinye izimo ze-GI. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo mayelana nokuthi ungabuphuza yini noma cha utshwala nezimo zakho zezempilo.
Yimiphi imiphumela emibi emibi yeNexium?
I-Nexium ivame ukubekezelelwa kahle ezigulini eziningi. Imiphumela emibi kakhulu ye-Nexium yikhanda, isicanucanu, ubuhlungu besisu, nohudo.
Ngabe i-Nexium iphephile ukuthatha nsuku zonke?
I-Nexium ithathwa nsuku zonke (kwesinye isikhathi kabili ngosuku), futhi ubude bokwelashwa buhluka kusuka ezinsukwini eziyi-10 kuye ezinyangeni eziyisithupha. Kodwa-ke, ezinye iziguli zithatha isikhathi esingaphezu kwezinyanga eziyisithupha ngokususelwa kumiyalo evela kumhlinzeki wezokunakekelwa kwempilo.
Ingabe i-Prilosec ilungele i-acid reflux?
Yebo, i-Prilosec iyindlela enhle ye-acid reflux. Ku- izifundo zokwelashwa , I-Prilosec isize ukwelapha izilonda nokwenza ngcono izimpawu.
Yini engingayithatha esikhundleni se-Nexium?
Eminye imishanguzo esigabeni esifanayo seNexium ifaka iPrilosec, I-Protonix , Prevacid , kanye ne-Aciphex. Xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo ngesincomo uma i-Nexium ingakusebenzeli.
Ngaphezu kokuthatha i-PPI noma omunye umuthi wezimpawu zakho, ungenza ushintsho lokudla. Okunye ukudla okungasiza ukunciphisa i-asidi ubhanana, ikhabe, okusanhlamvu okuphelele, iyogathi, amaprotheni anciphile, nemifino eluhlaza (isilimo esinengono emnandi edliwayo, ikhalenda, isipinashi, amahlumela aseBrussels).
Futhi, zama ukugwema ukudla okuthosiwe, okunamafutha amaningi, noma okubabayo. Okunye ukudla neziphuzo okucasulayo okufanele kugwenywe kufaka phakathi uphayinaphu, izithelo / amajusi ezisawolintshi, imikhiqizo katamatisi / utamatisi, ugarlic, u-anyanisi, utshwala, iziphuzo ezinekhabhoni, ikhofi, itiye, ushokoledi kanye neminti. Ukugcina idayari yokudla kungakusiza ukuthi unciphise ukuthi yikuphi ukudla neziphuzo ezisiza noma ezilimaze izimpawu zakho.
