Prevacid 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
Uma unayo IGERD (isifo se-reflux se-gastroesophageal) noma isilonda sesisu, umhlinzeki wakho wezokunakekelwa kwempilo angaphakamisa i-PPI (proton pump inhibitor). I-Prevacid (i-lansoprazole) ne-Prilosec (i-omeprazole) basesigabeni sezidakamizwa esibizwa nge-proton pump inhibitors futhi bakhonjisiwe ekwelapheni i-GERD nezinye izimo zesisu. Ama-Proton pump inhibitors asebenza ngokuvimba nokunciphisa ukukhiqizwa kwe-asidi esiswini nokuvimbela isilungulela. Yize yomibili le mithi yaziwa njengama-PPIs, inokwehluka okuthile kuzinkomba, izindleko nemiphumela emibi.
Uyini umehluko omkhulu phakathi kwe-Prevacid ne-Prilosec?
I-Prevacid (lansoprazole) ne-Prilosec (omeprazole) zombili zisesigabeni semithi i-proton pump inhibitor. Yomibili le mithi itholakala ngegama lomkhiqizo nange-generic, futhi yomibili iyatholakala kumuthi kadokotela naku-over-the-counter (OTC). Umthamo uyahluka ngokukhomba. Umthamo ojwayelekile wemithi kadokotela i-Prevacid ingama-30 mg kanye noma kabili ngosuku, kanti umthamo ojwayelekile we-Prilosec ungama-20 mg kanye noma kabili ngosuku.
| Umehluko omkhulu phakathi kwe-Prevacid ne-Prilosec | ||
|---|---|---|
| Prevacid | Prilosec | |
| Isigaba sezidakamizwa | I-Proton pump inhibitor | I-Proton pump inhibitor |
| Isimo somkhiqizo / ejwayelekile | Umkhiqizo nokujwayelekile | Umkhiqizo nokujwayelekile |
| Ngubani igama elijwayelekile? | I-Lansoprazole | Omeprazole |
| Yiziphi izinhlobo ezafika zomuthi? | I-Rx: amaphilisi okwehlisa ukubambezeleka, amaphilisi ancibilikayo I-OTC: amaphilisi okukhipha okulibazisekile | I-Rx: ama-capsule akhiphe ukubambezeleka, ukumiswa I-OTC: ukukhishwa okulibazisekile amaphilisi |
| Uyini umthamo ojwayelekile? | Iyahluka ngokukhombisa: imvamisa i-15-30 mg kanye noma kabili ngosuku | Iyahluka ngokukhombisa: imvamisa i-20-40 mg kanye noma kabili ngosuku |
| Yelashwa isikhathi esingakanani? | Izinsuku eziyi-10 kuya emavikini ayi-12, iziguli eziningi zithatha isikhathi eside | Izinsuku eziyi-10 kuya emavikini ayisishiyagalombili, iziguli eziningi zithatha isikhathi eside |
| Ubani ovame ukusebenzisa umuthi? | Abantu abadala; izingane unyaka owodwa nangaphezulu | Abantu abadala; izingane ezineminyaka engu-2 nangaphezulu |
Ufuna intengo engcono kakhulu ku-Prevacid?
Bhalisela izexwayiso zentengo ye-Prevacid bese uthola ukuthi intengo ishintsha nini!
Thola izexwayiso zentengo
Imibandela elashwa yi-Prevacid ne-Prilosec
Yomibili le mithi inezinkomba eziningi zokwelashwa. I-Prevacid ne-Prilosec (Yini i-Prilosec?) Ikhonjisiwe ekwelashweni kwesilonda esisebenzayo se-duodenal, ukuqedwa kwe-H. pylori, ukwelashwa kwesilonda esiswini esisabekayo, i-Zollinger-Ellison syndrome, ne-GERD. Ezinye izinkomba ezengeziwe ze-Prevacid (Yini i-Prevacid?) Zibandakanya ukugcinwa kwezilonda ze-duodenal eziphulukisiwe, ukuphulukiswa nokunciphisa ingozi ye-NSAID ehambisana nesilonda sesisu, kanye nokwelashwa nokugcinwa kokuphulukiswa kwe-esophagitis erosive (EE). Ezinye izinkomba ezengeziwe ze-Prilosec zifaka ukwelashwa kwe-EE ngenxa ye-GERD exhunyaniswe ne-asidi kanye nokugcinwa kokuphulukiswa kwe-EE ngenxa ye-GERD exhunyaniswe ne-asidi.
| Isimo | Prevacid | Prilosec |
| Ukwelashwa kwesilonda esisebenzayo se-duodenal | Yebo | Yebo |
| Ukuqedwa kwe H. pylori ukunciphisa ubungozi bokuphindaphinda kwesilonda se-duodenal - esetshenziswa ngokuhlangana ne-antibiotic eyodwa noma amabili | Yebo | Yebo |
| Ukugcinwa kwezilonda zesisu eziphulukisiwe | Yebo | Akunjalo |
| Ukwelashwa kwesilonda esiswini esisabekayo | Yebo | Yebo |
| Ukuphulukiswa kwesilonda esiswini esihlobene ne-NSAID | Yebo | Akunjalo |
| Ukunciphisa ubungozi besilonda esiswini esihlobene ne-NSAID | Yebo | Akunjalo |
| Ukwelashwa kwesifo se-reflux sesifo se-gastroesophageal (GERD) | Yebo | Yebo |
| Ukwelashwa kwe-esophagitis erosive (EE) | Yebo | Akunjalo |
| Ukwelashwa kwe-EE Ngenxa ye-GERD ene-asidi | Akunjalo | Yebo |
| Ukugcinwa kokuphulukiswa kwe-EE | Yebo | Akunjalo |
| Ukulondolozwa kokuphulukiswa kwe-EE ngenxa ye-GERD ehlangene ne-asidi | Akunjalo | Yebo |
| Izimo ze-pathological hypersecretory kufaka phakathi iZollinger-Ellison Syndrome (ZES) | Yebo | Yebo |
Ingabe i-Prevacid noma i-Prilosec isebenza kangcono?
Ngokwempumputhe kabili funda kweziguli ezingama-3510, ngokuqhathanisa i-Prevacid ne-Prilosec yokuphumula kwesilungulela, iziguli zithole i-Prevacid 30 mg nsuku zonke amasonto ayisishiyagalombili, noma i-Prilosec 20 mg nsuku zonke amasonto ayisishiyagalombili. Zombili lezi zidakamizwa zazibekezeleleke kahle. Iziguli ezelashwa nge-Prevacid zazinezimpawu zokuqaqamba okuncane kakhulu, nezinsuku nobusuku obuningi bokungashisi isilungulela. Umehluko phakathi kwemithi, noma kunjalo, wawumncane futhi wancipha ekupheleni kwamasonto ayisishiyagalombili.
Ekuhlaziyweni kwe-meta funda (ebheka izifundo eziningi) ngokusebenza kwama-PPI ekusetshenzisweni kwesikhashana, ababhali baphetha ngokuthi wonke ama-PPI ayafaniswa, futhi ukusebenzisa umthamo osebenzayo we-PPI kwakubaluleke kakhulu kunalokho okwakusetshenziswa i-PPI.
Isifundo ku Ijenali yaseMelika yeGastroenterology uphethe ngokuthi iziguli ezithola umuthi kadokotela we-PPI kudokotela we-gastroenterologist maningi amathuba okuba zihambisane nokuthatha imishanguzo yazo, futhi ngenxa yalokho, zibe nokulawula okungcono kwezimpawu, ngokungafani neziguli ezithenge ama-PPIs e-the-counter.
Umuthi osebenza kahle kakhulu kufanele unqunywe udokotela wakho kuphela, ongacabangela isimo (s) sakho sezokwelapha, umlando, neminye imithi oyisebenzisayo engasebenzisana ne-Prevacid noma i-Prilosec.
Ufuna intengo ehamba phambili ku-Prilosec?
Bhalisela izexwayiso zentengo ye-Prilosec bese uthola ukuthi intengo ishintsha nini!
Thola izexwayiso zentengo
Ukuhlanganiswa nokuqhathaniswa kwezindleko kwe-Prevacid vs. Prilosec
Kokubili i-Prevacid ne-Prilosec kuvame ukumbozwa umshwalense kanye ne-Medicare Part D. Imvamisa, uhlobo lwe-Rx generic lumboziwe. Uhlobo lwe-OTC luvalwa kuphela (ngomuthi) ngaphansi kwemishwalense ethile.
Inani elikhishwa ephaketheni (ngaphandle komshwalense) lamaphilisi angama-30 we-30 mg lansoprazole (i-generic Prevacid) cishe liyi- $ 125 kodwa ungathola umuthi ojwayelekile cishe u- $ 15, kanye nentengo yamaphilisi ayi-30 ka-20 mg omeprazole (i-generic Prilosec) cishe kungama- $ 60. Ungakhokha cishe ama- $ 15 nge-Prilosec ejwayelekile nge-SingleCare.
| Prevacid | Prilosec | |
| Ngokuvamile embozwe umshwalense? | Yebo. I-Rx generic, imvamisa akuyona i-OTC | Yebo. I-Rx generic, imvamisa akuyona i-OTC |
| Imbozwe ngokujwayelekile yi-Medicare Part D? | Yebo. I-Rx generic, imvamisa akuyona i-OTC | Yebo. I-Rx generic, imvamisa akuyona i-OTC |
| Umthamo ojwayelekile | Isibonelo: 30 mg capsule nsuku zonke | Isibonelo: 20 mg capsule nsuku zonke |
| Inkokhelo ejwayelekile yeMedicare Part D | $ 4- $ 64 | $ 0- $ 20 |
| Izindleko ze-SingleCare | $ 12- $ 20 | $ 9- $ 20 |
Thola ikhadi lesaphulelo se-SingleCare
Imiphumela emibi ejwayelekile ye-Prevacid vs. Prilosec
I-Prevacid ne-Prilosec zivame ukubekezelelwa kahle ezigulini. Imiphumela emibi kakhulu ye-Prevacid uhudo nobuhlungu besisu, kulandelwa ukuqunjelwa, isicanucanu, nekhanda. Imiphumela emibi kakhulu ye-Prilosec yikhanda nobuhlungu besisu, kulandelwa isicanucanu, isifo sohudo, ukuhlanza nokuqunjelwa.
Xhumana nochwepheshe wezokunakekelwa kwempilo ukuthola uhlu oluphelele lwemiphumela engemihle.
| Prevacid | Prilosec | |||
| Imiphumela emibi | Kusebenza? | Imvamisa | Kusebenza? | Imvamisa |
| Ubuhlungu besisu | Yebo | 2.1% | Yebo | 5% |
| Ukuqunjelwa | Yebo | 1% | Yebo | amaphesenti amabili |
| Uhudo | Yebo | 3.8% | Yebo | 4% |
| Isicanucanu | Yebo | 1.3% | Yebo | 4% |
| Ubuhlungu bekhanda | Yebo | 1% | Yebo | 7% |
| Ukuhlanza | Yebo | <1% | Yebo | 3% |
| Ukuqhuma kwesisu | Yebo | <1% | Yebo | 3% |
Umthombo: I-DailyMed (Prevacid) , I-DailyMed (Prilosec)
Ukusebenzisana kwezidakamizwa kwe-Prevacid vs. Prilosec
Ngoba i-Prevacid ne-Prilosec ziyefana, zinokuxhumana okuningi okufanayo kwezidakamizwa. Zombili lezi zidakamizwa zisebenzisana nabanciphisi begazi abanjengoCoumadin (warfarin); ama-antiretrovirals athile; i-methotrexate; ISt John's Wort; i-rifampin; kanye neLanoxin (digoxin). Okunye ukuxhumana kuhlukile kumuthi ngamunye; bona ishadi elingezansi ukuze uthole imininingwane. Xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo ukuthola iseluleko esenzelwe wena ngokuya ngemithi oyiphuzayo.
| Izidakamizwa | Isigaba Sezidakamizwa | Prevacid | Prilosec |
| I-Edurant (rilpivirine) I-Invirase (saquinavir) I-Reyataz (atazanavir) I-Viracept (nelfinavir) | Izidambisigciwane | Yebo | Yebo |
| I-Coumadin (warfarin) | I-Anticoagulant | Yebo | Yebo |
| IMethotrexate | I-Antimetabolite | Yebo | Yebo |
| I-Lanoxin (digoxin) | I-glycoside yenhliziyo | Yebo | Yebo |
| I-Celexa (citalopram) | I-SSRI antidepressant | Akunjalo | Yebo |
| I-Pletal (cilostazol) | IVasodilator | Akunjalo | Yebo |
| I-Dilantin (phenytoin) | I-Anticonvulsant | Akunjalo | Yebo |
| I-Valium (diazepam) | I-Benzodiazepine | Akunjalo | Yebo |
| Theophylline | Imethylxanthines | Yebo | Akunjalo |
| I-Nizoral (ketoconazole) I-Sporanox (itraconazole) Usawoti wensimbi I-CellCept (mycophenolate) | Izidakamizwa ezincike esiswini se-pH ukumunca | Yebo | Yebo |
| I-Prograf (tacrolimus) | I-Immunosuppressant | Yebo | Yebo |
| Isibhamu iSt John's Wort | Ama-inducers we-CYP3A4 | Yebo | Yebo |
| I-Carafate (sucralfate) | Isilonda esivikelayo | Yebo | Yebo |
| I-Plavix | I-anti-platelet | Akunjalo | Yebo |
Izexwayiso ze-Prevacid vs. Prilosec
Ngoba basesigabeni esifanayo semithi, uPrevacid noPrisosec banezixwayiso eziningi ezifanayo:
- Impendulo ezimpawu zomuthi ayinqumi ukuthi kubi. Ukuhlolwa okufanele kufanele kwenziwe, kufaka phakathi i-endoscopy kubantu abadala.
- I-nephritis enamandla kakhulu (isimo sezinso esingaba simbi kakhulu) singenzeka nganoma yisiphi isikhathi ngesikhathi sokwelashwa ngenxa yokusabela kwe-hypersensitivity.
- Ngenxa yemiphumela engaba yingozi kakhulu ngenxa yemithamo ephakeme nokusetshenziswa kwesikhathi eside, iziguli kufanele ziphathwe nge umthamo ophansi kakhulu , nangesikhathi esifushane esidingekayo, ukuze:
- yehlisa ingozi yoku IClostridium difficile isifo sohudo, ikakhulukazi ezigulini ezibhedlela.
- ukunciphisa ingozi yokuphuka kwethambo okuhambisana ne-PPI.
- ukunciphisa ubungozi be-lupus erythematosus (CLE) kanye ne-systemic lupus erythematosus (SLE).
- I-Prevacid noma i-Prilosec ingadala ukushoda kwe-vitamin B12.
- I-Prevacid noma i-Prilosec ingadala i-magnesium ephansi (enezimpawu noma ezingenazo). Ngenkathi kuyivelakancane, amacala amaningi enzekile ezigulini ezithatha i-PPI isikhathi esingaphezu konyaka, amacala abucayi abangele ukuphazamiseka kwemisipha, ukuquleka, kanye nesigqi senhliziyo esingajwayelekile.
- I-Prevacid noma i-Prilosec ingadala imiphumela emihle ekuhloleni izicubu ze-neuroendocrine.
- I-Prevacid noma i-Prilosec ingaholela kubuthi be-methotrexate uma ithathwa ihlanganiswe ne-methotrexate.
- Kukhona ingozi eyandayo yama-fundic gland polyps ane-Prevacid noma i-Prilosec.
- Gwema ukusebenzisa ne-St. John's Wort noma i-rifampin, okungenzeka ukuthi kuvimbele i-Prevacid noma i-Prilosec ukuthi isebenze kahle.
Ezinye izexwayiso ze-Prilosec:
- Gwema ukusebenzisa ne-Plavix (clopidogrel); I-Prilosec izomisa i-clopidogrel ekusebenzeni kahle. Umuthi ohlukile we-antiplatelet kufanele usetshenziswe esikhundleni se-Plavix.
Izexwayiso zokukhulelwa:
Xhumana nomhlinzeki wakho wezokunakekelwa kwezempilo ukuthola iseluleko sezokwelapha. Uma usuvele uthatha i-Prevacid noma i-Prilosec, futhi uthola ukuthi ukhulelwe, thintana nodokotela wakho.
Imibuzo ebuzwa njalo mayelana ne-Prevacid vs. Prilosec
Kuyini Prevacid?
I-Prevacid, noma i-lansoprazole, i-proton pump inhibitor. Isebenza ngokunciphisa ukukhiqizwa kwe-asidi nokusiza izimpawu ze-acid reflux. I-Prevacid iyatholakala ngemithi kadokotela kanye ne-OTC (ngaphezu kwe-the-counter) kuwo womabili amagama egama lomkhiqizo nelijwayelekile.
Yini iProlosec?
I-Prilosec, noma i-omeprazole, nayo iyisidakamizwa esigabeni semithi se-proton pump inhibitor. Itholakala kuzo zombili izinhlobo zemithi kadokotela neye-OTC, ngazo zombili izinhlobo zohlobo oluthile nolujwayelekile.
Ngabe i-Prevacid ne-Prilosec ziyefana?
Ngoba basesigabeni esifanayo semithi, basebenza ngendlela efanayo kepha banokuhluka okuthile kuzinkomba, izindleko, ukuxhumana kwezidakamizwa, imiphumela emibi, kanye nezixwayiso.
Ngabe i-Prevacid noma i-Prilosec ingcono? / Ngabe i-lansoprazole isebenza kangcono kune-omeprazole?
Uma ubheka idatha etholakalayo, womabili ama-PPIs abonakala efana ngokuya ngokuphepha nokusebenza ngempumelelo. I-Prevacid ingahle isebenze kancane esikhathini esifushane, kepha ngokuhamba kwesikhathi, izidakamizwa zinemiphumela efanayo. Udokotela wakho angakusiza unqume ukuthi i-Prevacid noma i-Prilosec ikulungele yini.
Ngingayisebenzisa yini i-Prevacid noma i-Prilosec ngenkathi ngikhulelwe?
Kunzima ukusho. Kuneminye imininingwane ephikisanayo hhayi imininingwane eyanele. Xhumana ne-OB / GYN yakho ukuthola izeluleko. Uma usuvele uthatha i-Prevacid noma i-Prilosec, futhi uthola ukuthi ukhulelwe, thintana ne-OB / GYN yakho.
Ngingayisebenzisa yini i-Prevacid noma i-Prilosec ngotshwala?
Yize abenzi bomuthi ngamunye bengaxwayisi ngokukhethekile ngotshwala obuhambisana nomuthi, ukuphuza utshwala kungakhuphula i-acidity futhi kubhebhethekise izimpawu ze-reflux.
Ziyini izingozi zokuthatha iProlosec?
Kokubili i-Prilosec ne-Prevacid iza nezixwayiso, ezichazwe ngenhla. Udokotela wakho uzoqapha impendulo yakho, kanye nanoma yikuphi ukusabela okuphikisayo, ku-Prevacid noma ku-Prilosec.
Yikuphi ukudla okunciphisa i-acid esiswini?
Okunye ukudla okuhle ongakudla ukusiza ukunciphisa i-asidi esiswini amabhanana; ikhabe (cantaloupe, honeydew); okusanhlamvu okuphelele njenge-oatmeal; iyogathi; amaprotheni anciphile; nemifino eluhlaza (i-asparagus, i-kale, isipinashi, amahlumela ase-brussels).
Gwema ukudla okuthosiwe, okunamafutha amaningi noma okubabayo. Okunye ukudla neziphuzo ezicasulayo okufanele kugwenywe kufaka phakathi uphayinaphu, izithelo ezisawolintshi (namajusi awo), utamatisi (nososo, i-salsa, ujusi, njll.), Ugarlic, u-anyanisi, utshwala, iziphuzo ezinekhabhoni, ikhofi, itiye, ushokoledi kanye neminti. Ukugcina idayari yokudla kungakusiza ukuthi unciphise ukuthi yikuphi ukudla neziphuzo okusizayo noma okulimaza izimpawu zakho.
Yini ephumelela kunazo zonke iproton pump inhibitor?
Ngaphezu kwe-Prevacid ne-Prilosec, kukhona amanye ama-inhibitors evunyelwe yi-FDA atholakala, kufaka phakathi I-Protonix (pantoprazole) , I-Nexium (esomeprazole) , Aciphex (rabeprazole), kanye neDexilant (dexlansoprazole). Isidakamizwa ngasinye sisebenza ngendlela efanayo ukuvimba ukukhiqizwa kwe-asidi nokuqeda izimpawu, kepha njengoba wonke umuntu ehlukile, ungaphendula kangcono kumuthi owodwa kunenye. Xhumana nochwepheshe wezokunakekelwa kwezempilo ukuze uthole iseluleko sezokwelapha Eminye imithi yesilungulela ethandwayo efana neZantac (ranitidine) nePepcid (famotidine) basesigabeni semithi esaziwa ngokuthi ama-H2 blocker futhi akuwona ama-PPIs.
