I-Paxil vs.Prozac: 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
I-Paxil (i-paroxetine) ne-Prozac (i-fluoxetine) yimithi emibili kadokotela esetshenziselwa ukwelapha ukudangala nezinye izifo zengqondo. Yomibili le mithi isebenza njenge-serotonin reuptake inhibitors ekhethiwe (SSRIs). ISerotonin iyi-neurotransmitter yamakhemikhali ebuchosheni edlala indima ebalulekile esimweni sengqondo. Ama-SSRI asebenza ngokwandisa inani le-serotonin ebuchosheni ukuze enze imiphumela elwa nokudangala. Yize besesigabeni esifanayo sezidakamizwa, iPaxil neProzac banokunye umehluko.
Uyini umehluko omkhulu phakathi kwePaxil neProzac?
I-Paxil (Yini i-Paxil?) Yaziwa futhi ngegama layo lamakhemikhali i-paroxetine. Njengamanye ama-SSRI, I-Paxil isetshenziselwa ukwelapha ukudangala kubantu abadala abaneminyaka engu-18 nangaphezulu. Ingaphatha nezinye izimo ezinjenge-obsessive compulsive disorder (OCD), i-post-traumatic stress disorder (PTSD), ukukhathazeka nokuhlaselwa ukwethuka. I-Paxil iyatholakala njengethebhulethi yomlomo noma ukumiswa oketshezi.
I-Prozac (Yini i-Prozac?) Yaziwa nangegama layo lamakhemikhali, i-fluoxetine. Ngokungafani ne-Paxil, i-Prozac ingaphatha ukucindezeleka kubantu abadala nasezingane ezineminyaka engu-8 nangaphezulu futhi iphazamise ngokweqile (OCD) kubantu abadala nezingane ezineminyaka engu-7 nangaphezulu. Ingaphatha ukwethuka kanye ne-bulimia. I-Prozac iza njenge-capsule yomlomo yansuku zonke noma yamasonto onke futhi ine-half-life ende yezinsuku ezine kuya kwezingu-6.
| Umehluko omkhulu phakathi kwePaxil neProzac | ||
|---|---|---|
| I-Paxil | I-Prozac | |
| Isigaba sezidakamizwa | I-serotonin reuptake inhibitor ekhethiwe (SSRI) | I-serotonin reuptake inhibitor ekhethiwe (SSRI) |
| Isimo somkhiqizo / ejwayelekile | Uhlobo olujwayelekile luyatholakala | Uhlobo olujwayelekile luyatholakala |
| Ngubani igama elijwayelekile? Ngubani igama lomkhiqizo? | I-Paroxetine I-Paxil | I-Fluoxetine I-Prozac |
| Izidakamizwa zingena ngaziphi izinhlobo? | Ithebhulethi yomlomo Ukumiswa ketshezi ngomlomo | Ama-capsule womlomo, ukukhishwa okulibazisekile |
| Uyini umthamo ojwayelekile? | 20 mg kanye ngosuku | 20 mg kanye ngosuku |
| Yelashwa isikhathi esingakanani? | Isikhathi eside kuye ngesimo eselashwa | Isikhathi eside kuye ngesimo eselashwa |
| Ubani ovame ukusebenzisa umuthi? | Abantu abadala abaneminyaka engu-18 nangaphezulu | Abantu abadala nezingane ezineminyaka engu-8 nangaphezulu |
Ufuna intengo engcono ku-Prozac?
Bhalisela izexwayiso zentengo ye-Prozac bese uthola ukuthi intengo ishintsha nini!
Thola izexwayiso zentengo
Imibandela ephathwa yi-Paxil vs. Prozac
I-Paxil ne-Prozac bobabili bangaphatha izimo ezifanayo zempilo yengqondo kufaka phakathi ukucindezeleka okukhulu kanye nokuphazamiseka kokucindezela ngokweqile. Banikezwe futhi ukwelapha ukwethuka okuvela ezinkingeni zokwethuka. Ngenkathi iPaxil ivunyelwe ukwelapha i-PTSD, iProzac nayo ingasetshenziswa ngaphandle kwelebuli ukwelapha izimpawu ze-PTSD.
I-Paxil ne-Prozac zingaphatha izimpawu zesifo se-premenstrual dysphoric disorder (PMDD), noma sokucindezeleka ngezikhathi. I-Paxil CR ifomu lokukhishwa elilawulwayo le-Paxil eligunyazwe ngqo i-PMDD.
I-Paxil inqunyelwe ukuthi yelaphe ukukhathazeka okuvela ezinkingeni ezahlukahlukene zokukhathazeka njengokuphazamiseka kokukhathazeka okujwayelekile kanye nama-phobias enhlalo. Ngenkathi iProzac ingabekelwa ukukhathazeka, akuyona i-FDA evunyelwe kulezi zinkinga ezithile.
I-Prozac ingathathwa ihlangene nomunye umuthi obizwa ngokuthi i-olanzapine ngezimpawu zokudangala ezivela ku-bipolar I disorder.
| Isimo | I-Paxil | I-Prozac |
| Isifo esikhulu sokucindezeleka (MDD) | Yebo | Yebo |
| Isifo sokucindezela ngokweqile (OCD) | Yebo | Yebo |
| Ukuphazamiseka kovalo | Yebo | Yebo |
| Isifo sokukhathazeka komphakathi (SAD) | Yebo | Ngaphandle kwelebula |
| Ukukhathazeka ngokweqile (GAD) | Yebo | Ngaphandle kwelebula |
| Ukucindezeleka Kwangemva Kokuhlukumezeka (PTSD) | Yebo | Ngaphandle kwelebula |
| Isifo se-premenstrual dysphoric (PMDD) | Yebo | Yebo |
| Ukuphazamiseka kweBipolar I | Ngaphandle kwelebula | Yebo |
Ingabe iPaxil noma iProzac isebenza kangcono?
I-Paxil ne-Prozac zisebenza ngokufanayo ekwelapheni izimpawu zokucindezeleka. Umehluko wabo omkhulu ulele ekutheni zisetshenziswa kanjani nemiphumela emibi ezingaba nayo.
Phakathi ku isilingo esingahleliwe kusuka kuJenali ye-American Medical Association, i-paroxetine ne-fluoxetine kutholakale ukuthi zisebenza ngendlela efanayo ezinyangeni eziyi-9 zokusetshenziswa. Ucwaningo lubandakanya abantu abadala abangama-573 abanezimpawu zokudangala. Ngesikhathi sokuqulwa kwecala, babona ukuthuthuka okufanayo kwikhwalithi yempilo. Okunye okufanayo icala akhombisanga mehluko ophawulekayo phakathi kwezithako ezisebenzayo zePaxil neProzac yokudangala.
Kokukodwa isifundo sokuqhathanisa , i-paroxetine ne-fluoxetine zitholakale zisebenza ngokufana ngemuva kwamasonto ayisithupha wokwelashwa. Kodwa-ke, abanye abasebenzisi be-paroxetine baba nempendulo enkulu ngemuva kwamasonto ama-3 futhi babika imiphumela emibi embalwa uma kuqhathaniswa ne-fluoxetine. Sekukonke, basebenze ngezindlela ezifanayo.
Enye indlela yokwelashwa ingancanyelwa kunenye ngokuya ngesimo sakho. Xhumana nodokotela ukuthola ukuthi i-antidepressant yangakwesokudla ukukusiza.
Ufuna intengo engcono kakhulu ku-Paxil?
Bhalisela izexwayiso zentengo yePaxil bese uthola ukuthi intengo ishintsha nini!
Thola izexwayiso zentengo
Ukuqhathaniswa kanye nezindleko zokuqhathaniswa kwePaxil neProzac
I-Paxil ngumuthi wegama lomkhiqizo. Uhlobo olujwayelekile lwe-Paxil, i-paroxetine, lumbozwe iningi le-Medicare nezinhlelo zomshuwalense. Intengo emaphakathi yokuthengisa ye-Paxil ejwayelekile icishe ibe ngu- $ 39.99. Ngekhadi lesaphulelo le-SingleCare, ungalindela ukunciphisa lezi zindleko ziye ku- $ 4-20.
I-Prozac ngumuthi wegama lomkhiqizo. Uhlobo olujwayelekile lweProzac, i-fluoxetine, lumbozwe yizinhlelo eziningi zeMedicare nezinhlelo zomshuwalense. Intengo emaphakathi yokuthengisa ye-Prozac ejwayelekile icishe ibe ngu- $ 28.99. Ngekhadi lokonga le-SingleCare, ungalindela ukukhokha cishe u- $ 4-20.
| I-Paxil | I-Prozac | |
| Ngokuvamile embozwe umshwalense? | Yebo | Yebo |
| Imbozwe ngokujwayelekile yi-Medicare? | Yebo | Yebo |
| Umthamo ojwayelekile | Amaphilisi angama-20 mg (ukulethwa kwama-30) | Amaphilisi angama-20 mg (ukulethwa kwama-30) |
| I-Medicare copay ejwayelekile | $ 12 | $ 12 |
| Izindleko ze-SingleCare | $ 4-20 | $ 4-20 |
Thola ikhadi lesaphulelo sekhemisi
Imiphumela emibi ejwayelekile yePaxil neProzac
I-Paxil ne-Prozac babelana ngemiphumela efanayo efanayo. Imiphumela emibi ejwayelekile yePaxil neProzac ifaka ikhanda, i-asthenia (ubuthakathaka obujwayelekile noma ukungabi namandla) nomlomo owomile.
Zombili lezi zidakamizwa zingadala imiphumela emibi ebandakanya uhlelo oluphakathi lwezinzwa (CNS). Le miphumela emibi ye-CNS ifaka ukuqwasha, ukukhathazeka, ukozela, nesiyezi. Eminye imiphumela emibi yokugaya ukudla ifaka phakathi isicanucanu, uhudo, ukuqunjelwa, ukugaya isisu, nokuqunjelwa (igesi).
Kokubili iPaxil neProzac nakho kungadala ukwehla kwesisindo noma ukuzuza kwesisindo esithile. I-Prozac ingadala ushintsho olungeluhle ekudleni okuholela ku- i-anorexy . I-Paxil, ngakolunye uhlangothi, kungenzeka kakhulu ukuthi ibangele ukuzuza kwesisindo kulokhu okubili.
I-Paxil ingadala ubuhlungu bezicubu kanti i-Prozac ayivamile ukudala lo mphumela wecala.
IProzac iyi-SSRI evusa amadlingozi futhi kungenzeka ukuthi ibangele ukuqwasha. Ngalesi sizathu, kuvame ukuthathwa ekuseni noma ntambama kunasebusuku.
Kokubili iPaxil neProzac kungadala izinkinga zocansi kufaka phakathi ukuncipha kwe-libido (idrayivu yocansi), ukungasebenzi kahle kwezocansi, ukubambezeleka kwe-orgasm, nokubambezeleka kwe-ejaculation.
Kokubili i-Paxil ne-Prozac ngama-SSRI asohlwini lwe-BEERS. Lolu hlu lubandakanya izidakamizwa ezingase zinganconyelwa kubantu abathile abaneminyaka engama-65 nangaphezulu. Imiphumela emibi ye-CNS kungenzeka kakhulu ku abantu abadala asebekhulile futhi kufanele ihlolwe.
| I-Paxil | I-Prozac | |||
| Imiphumela emibi | Kusebenza? | Imvamisa | Kusebenza? | Imvamisa |
| Ubuhlungu bekhanda | Yebo | 18% | Yebo | amashumi amabili nanye% |
| Ubuthakathaka noma ukungabi namandla | Yebo | ishumi nanhlanu% | Yebo | ishumi nanye% |
| Inhliziyo ishaya ngamandla | Yebo | 3% | Yebo | 1% |
| I-Vasodilation | Yebo | 3% | Yebo | amaphesenti amabili |
| Isicanucanu | Yebo | 26% | Yebo | 22% |
| Umlomo owomile | Yebo | 18% | Yebo | 9% |
| Ukugaya ukudla | Yebo | amaphesenti amabili | Yebo | 8% |
| Ukuqunjelwa | Yebo | 14% | Yebo | 5% |
| Uhudo | Yebo | 12% | Yebo | ishumi nanye% |
| Ukwehla kwesifiso sokudla / ukuncipha kwesisindo | Yebo | 6% | Yebo | amaphesenti amabili |
| I-Anorexy | Akunjalo | - | Yebo | 10% |
| Ukuqhuma kwesisu | Yebo | 4% | Yebo | 3% |
| Ukuqwasha | Yebo | 13% | Yebo | 19% |
| Ukwesaba | Yebo | 5% | Yebo | 13% |
| Ukukhathazeka | Yebo | 5% | Yebo | 12% |
| Ukozela | Yebo | 2. 3% | Yebo | 12% |
| Isiyezi | Yebo | 13% | Yebo | 9% |
| Kwehlisiwe i-libido | Yebo | 3% | Yebo | 4% |
| Ubuhlungu bemisipha | Yebo | amaphesenti amabili | Akunjalo | - |
| Umkhuhlane syndrome | Yebo | Akunjalo | Yebo | 5% |
| I-Rash | Yebo | amaphesenti amabili | Yebo | 4% |
* Lokhu kungenzeka kungabi uhlu oluphelele. Xhumana nodokotela noma usokhemisi ngemiphumela engemihle engaba khona.
Umthombo: I-DailyMed (Paxil) , I-DailyMed (Prozac)
Ukusebenzisana kwezidakamizwa kwePaxil neProzac
Njengama-SSRIs, i-Paxil ne-Prozac inokusebenzisana okufanayo kwezidakamizwa. Zombili lezi zidakamizwa zingasebenzisana ne-monoamine oxidase inhibitors (MAOIs) efana ne-selegiline ne-phenelzine. Ama-MAOIs adinga ukumiswa okungenani izinsuku eziyi-14 ngaphambi kokuqala i-SSRI. Ukuthatha le mithi kungakhuphula ubungozi besifo i-serotonin syndrome, isethi ebucayi yezimpawu ezingabandakanya umkhuhlane, ukuphazamiseka, nohudo.
Ukuthatha ezinye izidakamizwa ze-serotonergic njengamanye ama-SSRI, ama-SNRIs, namanye ama-opioid anePaxil noma iProzac nakho kungandisa ubungozi be-serotonin syndrome. Le mithi kufanele ibhekwe uma ithathwa ndawonye.
I-Paxil ne-Prozac ayinconywa ukuthi ithathwe nge-pimozide noma i-thioridazine. Ukuthatha le mithi ndawonye kungakhuphula ingozi yokwandiswa kwe-QT, noma isigqi senhliziyo esingajwayelekile.
I-Paxil ne-Prozac zingasebenzisana nezinye izidakamizwa ezidala imiphumela emibi ye-CNS. Ukuthatha le mithi ngezidakamizwa ezinjenge-benzodiazepines, ama-anticonvulsants, nama-opioid kungakhuphula imiphumela emibi njengokuwozela kanye nesiyezi.
Lawa ma-SSRI kufanele abhekwe kulabo abathatha ama-NSAID namanye ama-thinner wegazi afana ne-warfarin. Le mithi ingasebenzisana futhi inyuse ingozi yokuphuma kwegazi.
| Izidakamizwa | Isigaba Sezidakamizwa | I-Paxil | I-Prozac |
| I-Rasagiline Isocarboxazid I-Phenelzine USelegiline I-Tranylcypromine | I-Monoamine oxidase inhibitor (MAOI) | Yebo | Yebo |
| I-Pimozide I-Thioridazine Olanzapine | I-Antipsychotic | Yebo | Yebo |
| I-Naratriptan I-Rizatriptan I-Sumatriptan Zolmitriptan | I-Triptan | Yebo | Yebo |
| I-Doxepin Amitriptyline I-Clomipramine I-Desipramine Imipramine I-Nortriptyline | I-Tricyclic antidepressant (TCA) | Yebo | Yebo |
| I-Venlafaxine I-Milnacipran I-Duloxetine I-Desvenlafaxine | ISerotonin-norepinephrine reuptake inhibitor (SNRI) | Yebo | Yebo |
| I-Alprazolam Clonazepam I-Diazepam I-Lorazepam I-Triazolam | I-Benzodiazepine | Yebo | Yebo |
| Phenytoin I-Carbamazepine | I-Anticonvulsant | Yebo | Yebo |
| ILithium | Isimisi sokuqina | Yebo | Yebo |
| Fentanyl I-Tramadol | I-opioid | Yebo | Yebo |
| ISt. John's Wort | Amakhambi | Yebo | Yebo |
| Ibuprofen I-Naproxen I-Aspirin | Ama-NSAID | Yebo | Yebo |
| I-Warfarin | I-Anticoagulant | Yebo | Yebo |
* Lokhu kungenzeka kungabi uhlu oluphelele lwako konke ukuhlangana kwezidakamizwa okungenzeka. Xhumana nodokotela ngayo yonke imithi okungenzeka uyayiphuza.
Izexwayiso zePaxil vs. Prozac
I-Paxil ne-Prozac bobabili banezixwayiso zebhokisi elimnyama kumalebula abo mayelana nemicabango engaba khona yokuzibulala nokuziphatha. Ama-SSRI angadala ukucabanga ngokuzibulala, ikakhulukazi ezinganeni, ebusheni nasebancane. Ngakho-ke, le mithi kufanele ibhekwe kwabanye abantu.
Ukuthatha i-Paxil noma i-Prozac kungadala iziqephu ze-manic kulabo abane-bipolar disorder. Kufanele zisetshenziswe ngokuqapha kulabo abahlangabezana noma abahlangabezana nokuquleka kwazise ama-SSRI angandisa ingozi yokubanjwa.
I-Paxil noma i-Prozac ingadala izimpawu zokuhoxa uma kumiswe ngokungazelelwe. Le mithi kufanele imiswe kuphela ngokuholwa nguchwepheshe. Le mithi izocishwa kancane ukuze inciphise noma ivimbele izimpawu zokuhoxa.
Abesifazane abakhulelwe akufanele bathathe iPaxil (Isigaba Sokukhulelwa D). Abesifazane abakhulelwe bangathatha iProzac kuphela uma izinzuzo zidlula izingozi (Isigaba Sokukhulelwa C).
Imibuzo ebuzwa njalo nge-Paxil vs.Prozac
Kuyini iPaxil?
I-Paxil iyi-serotonin reuptake inhibitor ekhethiwe (SSRI). I-Paxil igama lomkhiqizo le-paroxetine. Isetshenziselwa ukwelapha izimo zempilo yengqondo kubandakanya ukucindezeleka, i-OCD, ukwethuka, nokukhathazeka kubantu abadala abaneminyaka eyi-18 nangaphezulu. Kuvame ukuthathwa njengo-20 mg kanye ngosuku.
Kuyini iProzac?
I-Prozac iyi-serotonin reuptake inhibitor ekhethiwe (SSRI). I-Prozac igama lomkhiqizo le-fluoxetine. Isetshenziselwa ukwelapha ukudangala, i-OCD, kanye ne-premenstrual dysphoric disorder kubantu abadala nasezinganeni ezingaphezu kweminyaka eyi-8. Ingaphatha futhi iziqephu ezicindezelayo zokuphazamiseka kwengqondo okuguquguqukayo. Umthamo ojwayelekile ungama-20 mg kanye ngosuku.
Ngabe iPaxil vs Prozac iyafana?
IPaxil neProzac abafani. Yize bengabesigaba sezidakamizwa se-SSRI, banokusebenzisa okuhlukile nemiphumela emibi.
Ngabe iPaxil vs Prozac ingcono?
I-Paxil ne-Prozac yomibili iyimithi esebenzayo ye-SSRI. I-Paxil ingancanyelwa ukusetshenziswa kwayo okuvunyiwe kokuphazamiseka kokukhathazeka nemiphumela engemihle evuselelayo. I-Prozac ingakhethwa ezinganeni noma kukhetho lwayo lwamasonto onke.
Ngingayisebenzisa yini iPaxil vs. Prozac ngenkathi ngikhulelwe?
I-Paxil akufanele isetshenziswe kwabesifazane abakhulelwe. I-Prozac ingasetshenziswa kwabesifazane abakhulelwe kuphela uma izinzuzo zidlula izingozi. Xhumana nomhlinzeki wakho wezempilo uma ukhulelwe noma uncelisa.
Ngingayisebenzisa yini iPaxil neProzac ngotshwala?
Akunconywa ukuthi uphuze utshwala nama-SSRI afana ne-Paxil noma i-Prozac. Ukuphuza utshwala ngale mithi kungakhuphula imiphumela emibi njengokulala noma isiyezi.
Ingabe i-Paxil ilungele ukukhathazeka?
I-Paxil i-FDA ivunyelwe ukwelapha ukukhathazeka. I-Paxil ingasetshenziselwa ukukhathazeka ngokweqile, i-social phobia, ne-panic disorder. Ucwaningo lukhombisile ukuthi iPaxil iyasebenza kulezi zimo.
Uyini umphumela wecala ovame kakhulu weProzac?
Imiphumela emibi kakhulu ye-Prozac ifaka ukukhathazeka, ukwethuka nokuqwasha. Eminye imiphumela emibi ejwayelekile ifaka phakathi ikhanda, isicanucanu, nomlomo owomile. Kodwa-ke, le miphumela emibi ivame ukuba mncane futhi ihambe ngokuhamba kwesikhathi.











