IPercocet vs. Vicodin: 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-Percocet ne-Vicodin yimithi emibili kadokotela evunyelwe yi-FDA esetshenziselwa ukwelashwa kwe- ubuhlungu obukhulu . Le mithi ihlukaniswa eqenjini lemithi ebizwa ngama-opioid, noma ama-narcotic, ama-analgesics. Ama-analgesics e-opioid asebenza ngokubopha ama-mu-opioid receptors ebuchosheni, enza buthaka futhi avimbele amasignali obuhlungu. Ngokwenza lokhu, baqeda ubuhlungu obunzima (yingakho isidlaliso sibulala izinhlungu). IPercocet neVicodin ihlukaniswe yi-DEA njengezidakamizwa zeSheduli II ngoba zinamandla amakhulu okusebenzisa kabi izidakamizwa futhi zingaholela ekuthembekeni ngokomqondo noma ngokomzimba / ukulutha kwe-opioid. IPercocet neVicodin banokufana okuningi, kepha futhi banokuhluka okuthile, esizoxoxa ngakho ngezansi.
Uyini umehluko omkhulu phakathi kwePercocet neVicodin?
I-Percocet ne-Vicodin yizidakamizwa ezihlanganisiwe (iphilisi ngalinye liqukethe imishanguzo emibili) esetshenziselwa ukuphathwa kobuhlungu (ubuhlungu obukhulu, obubuhlungu). I-Percocet iqukethe i-oxycodone ne-acetaminophen. I-Acetaminophen yi-generic yeTylenol futhi ibizwa nangokuthi yi-APAP, ngakho igama lesidakamizwa livame ukuvela njenge-oxycodone / APAP. IPercocet iqukethe ama-325 mg we-acetaminophen, kanye no-2.5 mg, 5 mg, 7.5 mg, noma u-10 mg we-oxycodone.
IVicodin iqukethe i-hydrocodone ne-APAP. IVicodin iqukethe i-hydrocodone / APAP 5/300 mg. IVicodin ES iqukethe i-hydrocodone / APAP 7.5 / 300 mg. IVicodin HP iqukethe i-hydrocodone / APAP 10/300 mg.
Kokubili iPercocet neVicodin kuyatholakala ngegama lomkhiqizo nangendlela ejwayelekile. IPercocet neVicodin kuhloselwe ukusetshenziselwa ukukhulula izinhlungu zesikhashana; noma kunjalo, ezinye iziguli ezine- ubuhlungu obungapheli qhubeka nokuthatha iPercocet noma iVicodin isikhathi eside, kuya ngemiyalo yomhlinzeki wezokunakekelwa kwempilo. Zonke iziguli ezithatha iPercocet noma iVicodin kufanele ziqashwe ngeso elibukhali.
| Umehluko omkhulu phakathi kwePercocet neVicodin | ||
|---|---|---|
| I-Percocet | Vicodin | |
| Isigaba sezidakamizwa | I-opioid (narcotic) analgesic | I-opioid (narcotic) analgesic |
| Isimo somkhiqizo / ejwayelekile | Umkhiqizo nokujwayelekile | Umkhiqizo nokujwayelekile |
| Ngubani igama elijwayelekile? | I-Oxycodone / APAP (i-oxycodone / i-acetaminophen) | I-Hydrocodone / APAP (i-hydrocodone / i-acetaminophen) |
| Izidakamizwa zingena ngaziphi izinhlobo? | Ithebhulethi: 2.5 / 325 mg, 5/325 mg, 7.5 / 325 mg, 10/325 mg | Ithebhulethi: 5/300 mg, 7.5 / 300 mg, 10/300 mg |
| Uyini umthamo ojwayelekile? | Ithebhulethi eyodwa ka-5/325 mg njalo emahoreni ayisithupha njengoba kudingeka ngobuhlungu | Ithebulethi elilodwa noma amabili ka-5/300 mg njalo emahoreni ama-4 kuye kwayi-6 njengoba kudingeka ngobuhlungu (amaphilisi ayisishiyagalombili ngosuku) |
| Yelashwa isikhathi esingakanani? | Isikhathi esifushane; ezinye iziguli ziqhubeka isikhathi eside ngaphansi kokuqondisa kukadokotela | Isikhathi esifushane; ezinye iziguli ziqhubeka isikhathi eside ngaphansi kokuqondisa kukadokotela |
| Ubani ovame ukusebenzisa umuthi? | Abantu abadala | Abantu abadala |
Izimo eziphathwa yiPercocet neVicodin
I-Percocet ne-Vicodin zombili zinenkomba eyodwa — yokuphathwa kobuhlungu obunzima ngokwanele ukudinga i-opioid analgesic, lapho ezinye izindlela zokwelapha (ezingezona-opioid) zingabekezelelwa noma zinganele ukulawula izinhlungu.
| Isimo | I-Percocet | Vicodin |
| Ukuphathwa kobuhlungu obunzima ngokwanele ukudinga i-opioid analgesic, nokuthi yiziphi ezinye izindlela zokwelashwa ezinganele | Yebo | Yebo |
Ingabe iPercocet noma iVicodin isebenza kangcono?
Phakathi ku ukutadisha kweziguli eziphuthumayo owayephuke kanzima futhi welashwa ngePercocet noma iVicodin, ukuqeda izinhlungu kwakufana nangemizuzu engama-30 nengama-60 ngomuthi owodwa. Ababhali bokucwaninga baphetha ngokuthi bobabili iPercocet neVicodin banikeze imiphumela efanayo maqondana nokuphumula kobuhlungu.
Esinye isifundo kuqhathaniswa i-oxycodone / APAP (5/325 mg) ne-hydrocodone / APAP (5/325 mg). Qaphela: Umthamo we-APAP (Tylenol) wawungu-325 mg, ngokungafani ne-300 mg equkethe i-Vicodin. Ucwaningo lubheke iziguli ezinobuhlungu obunzima futhi zaqhathanisa ukuthi lezi zidakamizwa ezimbili zisebenza kanjani ngemuva kokuphuma egumbini labezimo eziphuthumayo. Zombili lezi zidakamizwa zazisebenza ngokufanayo ekunciphiseni ubuhlungu (cishe ngo-50%).
Isidakamizwa esingcono kakhulu kuwe singanqunywa ngumhlinzeki wakho wezokunakekelwa kwempilo, ongacabangela isimo (s) sakho sezempilo nomlando, kanye nanoma imiphi eminye imishanguzo oyiphuzayo engasebenzisana nePercocet noma iVicodin.
Ukuhlanganiswa kanye nokuqhathaniswa kwezindleko kwePercocet vs. Vicodin
Imithetho yezwe ivame ukukhawulela ukugcwaliswa kokuqala kwencwadi kadokotela yenani elincane. I-Percocet imbozwe ngohlobo lwayo olujwayelekile ngemishuwalense eminingi nezinhlelo zeMedicare Part D. Imithi ejwayelekile yePercocet ejwayelekile ingabiza ngaphezulu kwama- $ 50 kepha iqala ku- $ 11 ngamakhuphoni e-SingleCare esaphulelo emakhemisi abambe iqhaza.
IVicodin ivame ukumbozwa ngohlobo lwayo olujwayelekile yizinkampani eziningi zomshuwalense, nangezinhlelo ezithile zeMedicare Part D. (Ezinye izinhlelo zithanda iNorco, equkethe u-5, 7.5, noma u-10 mg we-hydrocodone, kanye no-325 mg we-APAP.) Umuthi ojwayelekile we-genic Vicodin ugijima cishe ngama- $ 200. Isigqebhezana se-SingleCare singanciphisa intengo ibe ngaphansi kwama- $ 100.
| I-Percocet | Vicodin | |
| Ngokuvamile embozwe umshwalense? | Yebo (okujwayelekile) | Yebo (okujwayelekile) |
| Imbozwe ngokujwayelekile yi-Medicare Part D? | Yebo (okujwayelekile) | Iyahlukahluka |
| Umthamo ojwayelekile | Amaphilisi e-Oxycodone / APAP 5/325 mg | Amaphilisi e-Hydrocodone / APAP 5/300 mg |
| Inkokhelo ejwayelekile yeMedicare Part D | $ 0- $ 25 | $ 98- $ 152 |
| Izindleko ze-SingleCare | $ 11- $ 18 | $ 28- $ 40 |
Imiphumela emibi ejwayelekile yePercocet vs. Vicodin
Imiphumela emibi kakhulu engenzeka nge-Percocet noma i-Vicodin ukucindezeleka kokuphefumula (ukuphuza ukuphefumula nokungatholi i-oxygen eyanele), i-apnea, ukuboshwa kokuphefumula, umfutho wegazi ophansi nokushaqeka.
Okuvame kakhulu imiphumela emibi yePercocet ikhanda elikhanyayo, isiyezi, ukozela, ukuthambisa, isicanucanu nokuhlanza. Eminye imiphumela emibi ifaka phakathi i-euphoria, i-dysphoria (ukuzizwa ungaphathekile kahle noma ungajabule), ukuqunjelwa, nokulunywa.
Okuvame kakhulu imiphumela emibi ye-Vicodin ikhanda elikhanyayo, isiyezi, isisu, isicanucanu nokuhlanza. Eminye imiphumela engemihle ifaka ukukhathala, ukukhathala kwengqondo, ukuqunjelwa, ukuguquka kwemizwelo, nokunwaya
Isifo se-Serotonin kuyindlela engathi sína, esongela impilo engenzeka ngePercocet noma iVicodin, ikakhulukazi uma ithathwa nezinye izidakamizwa ezandisa i-serotonin.
Lolu akulona uhlu olugcwele lwemiphumela emibi. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ukuthola uhlu oluphelele lwemiphumela emibi yePercocet noma iVicodin.
Ukusebenzisana kwezidakamizwa kwePercocet vs.Vicodin
Ukuthatha i-Percocet noma i-Vicodin ngemithi ehlungwa ngama-enzyme abizwa nge-CYP3A4 noma i-CYP2D6 kungaholela ekusebenzisaneni kwezidakamizwa. Le mithi ingama-enzyme inhibitors futhi ifaka ama-antibiotic athile, ama-antifungal, nama-protease inhibitors. Ukusebenzisa esinye salezi zidakamizwa ngePercocet noma iVicodin kungaholela ekwakhiweni kwama-opioid emzimbeni wakho, okungaba yingozi enkulu.
Eminye imishanguzo ingukungenisa i-enzyme, futhi inomphumela ophambene — yehlisa izinga le-opioid ukuze ingasebenzi kahle noma ingadala izimpawu zokuhoxa.
I-Benzodiazepines noma amanye ama-CNS depressants (kufaka phakathi amanye ama-opioid) ngokuhlanganiswa ne-Percocet noma i-Vicodin kungadala umfutho wegazi ophansi, ukuphefumula okuphuzile, ukudamba okujulile, ikhoma noma nokufa.
Ukuthatha iPercocet noma iVicodin ngemithi ekhulisa amazinga e-serotonin kwandisa ubungozi be-serotonin syndrome, isimo esibi kakhulu noma esisongela nokuphila. Le mithi ifaka imishanguzo ethile yokudambisa ingcindezi, izidambisi eziqinisa imisipha, ama-MAO inhibitors (ama-MAO inhibitors akufanele asetshenziswe ezinsukwini eziyi-14 zePercocet noma iVicodin), nama-triptan.
Uma uthatha iPercocet noma iVicodin, khumbula ukuthi ziqukethe iTylenol (APAP), nokukhwehlela okungaphezulu kwamakhompiyutha nemithi ebandayo kanye nokunciphisa izinhlungu kuqukethe i-APAP. Buza nosokhemisi wakho, ongakusiza ukhethe umuthi we-OTC ongenayo i-APAP.
Okunye ukuxhumana kwezidakamizwa kungenzeka. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ukuthola uhlu oluphelele lokuhlangana kwezidakamizwa zePercocet neVicodin.
| Izidakamizwa | Isigaba Sezidakamizwa | I-Percocet | Vicodin |
| I-Clarithromycin I-Erythromycin | Ama-antibiotic e-Macrolide | Yebo | Yebo |
| I-Fluconazole Ketoconazole | Ama-antifungal we-Azole | Yebo | Yebo |
| I-Ritonavir | Ama-Protease inhibitors | Yebo | Yebo |
| ICarbamazepine Phenytoin I-Rifampin | Ama-inducers we-CYP3A4 | Yebo | Yebo |
| I-Alprazolam Clonazepam I-Diazepam I-Lorazepam I-Temazepam | I-Benzodiazepines | Yebo | Yebo |
| ICodeine Fentanyl I-Hydrocodone I-Methadone I-Morphine I-Oxycodone I-Tramadol | Ama-opioid | Yebo | Yebo |
| Utshwala | Utshwala | Yebo | Yebo |
| I-Baclofen ICyclobenzaprine I-Metaxalone | Ukuphumula kwemisipha | Yebo | Yebo |
| I-Rizatriptan I-Sumatriptan | Ama-Triptans | 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-Nortriptyline | I-Tricyclic antidepressants | Yebo | Yebo |
| UFurosemide IHydrochlorothiazide (HCTZ) | Izidakamizwa | Yebo | Yebo |
| USelegiline I-Tranylcypromine | I-MAO inhibitors (MAOI) | Yebo | Yebo |
| I-Atenolol I-Metoprolol I-Propranolol | Ama-beta blockers | Yebo | Yebo |
| I-Benztropine I-Diphenhydramine I-Oxybutynin I-Tolterodine | Ama-anticholinergics | Yebo | Yebo |
Izexwayiso zePercocet neVicodin
Kokubili iPercocet neVicodin kuza nefayela le- boxed (black box) isexwayiso , okuyisixwayiso esiqine kakhulu esidingwa yi-FDA. Nazi ezinye izexwayiso:
- Ithuba lokuhlukunyezwa, ukusetshenziswa kabi, kanye nokulutha, okungaholela ekudleni ngokweqile nasekufeni. Thatha imithi yakho njengoba kunqunyiwe , futhi yanikezwa injongo kuphela.
- Ukucindezeleka okukhulu, okusongela impilo kokuphefumula kungenzeka. Iziguli kufanele ziqashwe, ikakhulukazi ngesikhathi sokuqala kokwelashwa nanganoma yiluphi ushintsho kumthamo. Iziguli esezikhulile neziguli ezinezinkinga emaphashini zisengozini enkulu yokudangala kokuphefumula.
- Ukungenwa ngengozi yinoma ngubani, ikakhulukazi izingane, kungadala ukweqisa izidakamizwa okubulalayo.
- Ukusetshenziswa kwama-opioid isikhathi eside ngesikhathi sokukhulelwa kungadala isifo sokuhoxiswa kwe-opioid neonatal, okungasongela impilo.
- I-Tylenol (i-acetaminophen) ihlotshaniswa nezinkinga zesibindi, ezingadala isidingo sokufakelwa kwesibindi noma ukufa. Iziguli kufanele zazi isilinganiso esiphezulu sansuku zonke se-acetaminophen (buza umhlinzeki wakho wezokunakekelwa kwempilo) futhi akufanele zisebenzise eminye imikhiqizo equkethe i-acetaminophen.
- Kusetshenziswa ama-opioid ane-benzodiazepines (njenge-Xanax) noma olunye uhlobo lwe-central system nervous (CNS) depressants kungadala ukucindezeleka okukhulu kokuphefumula, i-sedation ejulile, ikhoma noma nokufa. Uma inhlanganisela ye-opioid ne-benzodiazepine ingenakugwenywa, kuzodingeka ukuthi kunqunywe umthamo ophansi kakhulu, futhi umuthi kufanele usetshenziselwe isikhathi esifushane ngangokunokwenzeka. Isiguli kufanele siqashwe ngeso lokhozi.
Ezinye izexwayiso zifaka:
- Umfutho wegazi ophansi kungenzeka — qapha umfutho wegazi.
- Ezimweni ezingavamile, i-acetaminophen ingadala ukusabela okunamandla kwesikhumba, kufaka phakathi i-acute generalized exanthematous pustulosis (AGEP), iStevens-Johnson Syndrome (SJS), kanye ne-epidermal necrolysis (TEN) enobuthi, engabulala. Uma kwenzeka ukusabela kwesikhumba, yeka umuthi ngokushesha bese ufuna ukwelashwa okuphuthumayo. I-Acetaminophen nayo ingadala ukusabela kwe-hypersensitivity, okungafaka ukuvuvukala okuzungeze izindebe nobuso, noma ukusabela kwesikhumba. Uma lokhu kwenzeka, funa ukwelashwa okuphuthumayo.
- Ukudambisa izinhlungu ze-opioid akufanele kusetshenziswe ezigulini ezilimele ekhanda, noma esigulini esinokukhubazeka okungazi lutho. Futhi, iziguli ezinokukhubazeka kwamathumbu akufanele zisebenzise ama-opioid.
- Iziguli ezinenkinga yokuquleka zinengozi eyengeziwe yokuquleka lapho zithatha ama-opioid.
- Lapho uyeka i-opioid, thepha umuthi kancane kancane (njengoba kuyalelwe ngumhlinzeki wakho wezokunakekelwa kwempilo) ukugwema izimpawu zokuhoxa. Ungalokothi uyeke ukuthatha umuthi ngokungazelelwe.
- Ungashayeli noma usebenzise imishini uze wazi ukuthi uzosabela kanjani kulowo muthi.
- Ungaphuzi utshwala ngenkathi uthatha iPercocet noma iVicodin.
- Gcina imithi yakho lapho izingane nabanye bengeke bayifinyelele, mhlawumbe ikhabethe noma ikhabethe elikhiyiwe. Lapho usuqedile ngenkambo yakho yokwelashwa, ungawugcini umuthi. ICDC inezinsizakusebenza zendlela lahla ngokuphepha wemithi yakho ye-opioid.
- Ama-opioid akufanele athathwe ngesikhathi sokukhulelwa, ngoba angalimaza umbungu. Ukusebenzisa ama-opioid isikhathi eside ngesikhathi sokukhulelwa kungaholela esimweni esisongela impilo esibizwa nge-neonatal opioid withdrawal syndrome.
Imibuzo ebuzwa njalo mayelana nePercocet vs. Vicodin
Kuyini iPercocet?
I-Percocet iyisidambisi sezinhlungu se-opioid futhi iqukethe i-oxycodone ne-acetaminophen. Kufanele isetshenziselwe kuphela ubuhlungu obukhulu, obubuhlungu, isikhathi esifushane, ngaphandle kokuthi uma kuyalelwe ngenye indlela ngumhlinzeki wakho wezokunakekelwa kwempilo.
Yini i-Vicodin?
IVicodin futhi iyisidambisi sezinhlungu se-opioid. Iqukethe i-hydrocodone ne-acetaminophen. Isetshenziselwa ubuhlungu obukhulu, obubuhlungu, futhi kufanele isetshenziselwe isikhathi esifushane ngaphandle kokuthi uma eyalelwe ngenye indlela ngumhlinzeki wakho wezokunakekelwa kwempilo.
Ngabe iPercocet neVicodin ziyefana? / Yikuphi okunamandla amakhulu, iPercocet noma iVicodin?
Ziyafana, kepha azifani. Zombili ziqukethe iTylenol noma i-acetaminophen. I-Percocet iqukethe ne-oxycodone, i-painkiller enamandla. IVicodin iqukethe ne-hydrocodone, okuyi-painkiller enamandla.
Ngabe iPercocet noma iVicodin ingcono?
Zombili lezi zidakamizwa zibonakala zisebenza ngokufanayo, njengoba kubonakala ezifundweni ezichazwe ngenhla. Uma unezinhlungu ezinzima, ezingalawulwa ngemithi engeyona i-opioid, udokotela wakho angancoma ukuthi uzame iPercocet noma iVicodin ngesikhathi esifushane. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ukuthola eminye imininingwane.
Ngingayisebenzisa yini iPercocet noma iVicodin ngikhulelwe?
Cha. Ukuthatha iPercocet noma iVicodin kungadala ingozi enganeni, futhi ukuyithatha isikhathi eside kungadala ukuhoxa kwe-neonatal opioid syndrome (eyaziwa nangokuthi i-neonatal abstinence syndrome ), okungasongela impilo.
Ngingayisebenzisa yini iPercocet noma iVicodin ngotshwala?
Akunjalo , akufanele usebenzise iPercocet noma iVicodin ngotshwala. Inhlanganisela ingakhuphula ubungozi be-CNS nokudangala kokuphefumula, okungaholela ekuqulekeni noma ekufeni. Futhi, ukuhlanganiswa kotshwala ne-acetaminophen kungakhuphula ubungozi bezinkinga zesibindi.
Ungathatha i-oxycodone nge-Vicodin?
Ngokuvamile, cha. Uma uthatha i-opioid yezinhlungu ezibuhlungu, ubungeke uthathe enye i-opioid. Isibonelo, iziguli akufanele zithathe i-oxycodone neVicodin ngoba inhlanganisela ikhulisa ubungozi be-CNS nokudangala kokuphefumula, ukukhubazeka kwengqondo, umfutho wegazi ophansi, nokuqunjelwa okukhulu.
Kodwa-ke, ezinye iziguli ezinezinhlungu ezingapheli, ezibhekwe ngokucophelela ngaphansi kokunakekelwa kwengcweti yokulawulwa kobuhlungu zithatha uhlobo olwehlukile, olusebenza isikhathi eside lwe-oxycodone, olubizwa ngokuthi i-Oxycontin, futhi luthathe iVicodin ngenhlungu yokuqhuma uma kudingeka.
Uma uthatha isiqabu sobuhlungu se-opioid sobuhlungu obunzima, ubungeke uthathe enye i-opioid.
Ngabe i-tramadol inamandla kune-Percocet?
I-Ultram (tramadol) iyipilisi lezinhlungu eliqinile. I-Tramadol iku-DEA ISheduli IV , okusho ukuthi inamandla aphansi okuhlukumeza kanye nengozi ephansi yokuncika. IPercocet ikuSheduli II, okusho ukuthi inamandla amakhulu okuhlukumeza, futhi ingahle iholele ekuthembekeni okunzima ngokwengqondo noma ngokomzimba. Yize iPercocet ibekwe esimisweni esiphakeme, zombili izidakamizwa zinemiphumela emibi efanayo. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ukuthola eminye imininingwane.
Ingabe iPercocet iyi-opiate noma i-opioid?
Imvamisa, siyawabona la magama esetshenziswa ngokushintshana, kepha awafani ncamashi.
I-opiate yisidakamizwa esivela ku-opium, njengasesitshalweni se-poppy. I-opioid ingaba yemvelo noma yokwenziwa. I-Percocet iyi-opioid-iyinhlanganisela futhi ayitholakali ngokwemvelo ku-opium.
