I-Provigil vs. Adderall: Umehluko, ukufana, futhi 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-Provigil ne-Adderall yimithi emibili kadokotela esetshenziswa ekwelapheni i-narcolepsy kanye nezinye izifo. Ukuxokozela kuyisifo esingalapheki sokulala kwezinzwa esithinta ikhono lobuchopho lokulawula imijikelezo yakho yokulala nokuvuka. Lokhu kungaholela ekulaleni okuvame ukuphazanyiswa ebusuku ngakho-ke ukozela ngokweqile emini. Kulinganiselwa ukuthi abantu abangafika ku-200,000 e-United States ube ne-narcolepsy . I-narcolepsy ingathinta imisebenzi yansuku zonke kanye nokuphepha kwabanye, njengoba umuntu ophethwe yisihlukumezi angakhathala ngokweqile ngenkathi eshayela noma esebenzisa imishini yokusebenza. U-Provigil no-Adderall bobabili bavunyelwe ekwelashweni kwesifo sokudlikiza kodwa abalona uhlobo olufanayo lomuthi, futhi sizoxoxa ngokuhlukana kwabo.
Yini umehluko omkhulu phakathi kukaProvigil no-Adderall?
I-Provigil (modafinil) umuthi kadokotela okhuthaza ukuphaphama kepha wehlukile kwezinye izinto ezivuselela amandla ezinzwa (CNS) ezinjenge-Adderall. Indlela yokusebenza uPrigigil akhuthaza ngayo ukuphaphama ayiqondakali ngokuphelele, noma kucatshangwa ukuthi kwenziwa ngezenzo ezifundeni ezithile zobuchopho. Ngenkathi ezinye izikhuthazi ze-CNS zibonakala zisebenza ngezindlela ezibandakanya i-dopamine noma izindlela ezihambisanayo, uProvigil akabonakali ethinta lezi zindlela.
I-Provigil iyatholakala kumathebulethi womlomo ngamandla we-100 mg no-200 mg. I-Provigil ibhekwa njengesidakamizwa esilawulwayo se-IV yi-Drug Enforcement Agency (DEA). I-Provigil kufanele isetshenziswe ngokuqapha ezigulini ezinomlando wokusebenzisa kabi izidakamizwa.
I-Adderall iyinhlanganisela kasawoti we-amphetamine, oqukethe isilinganiso esingu-3 kuye ku-1 se-dextroamphetamine (d-amphetamine) ne-levoamphetamine (l-amphetamine). Kungumuthi kadokotela osetshenziswa ekwelapheni i-narcolepsy futhi, ngokujwayelekile, ukunakekelwa kokushoda kokungasebenzi (ADHD).
Ezinye izikhuthazi ze-CNS ongazijwayela zifaka phakathi uRitalin, Focalin, noVyvanse. Amaphilisi omlomo akhishwa ngokushesha e-Adderall ayatholakala ngamandla ka-5 mg, 7.5 mg, 10 mg, 12.5 mg, 15 mg, 20 mg, no-30 mg. I-Adderall XR ukwakhiwa kwe-capsule enwetshiwe futhi kutholakala ngamandla we-5 mg, 10 mg, 15 mg, 20 mg, 25 mg, no-30 mg.
I-DEA ibheka u-Adderall njengesidakamizwa II sesidakamizwa se-narcotic. Ngenxa yokuthi i-Adderall yakha imikhuba futhi inamandla amakhulu okuhlukumeza, kunemikhawulo nemihlahlandlela yokuthola lo muthi, ohluka ngohulumeni. I-Adderall kufanele isetshenziswe ngokuqapha ezigulini ezinomlando wokusebenzisa kabi izidakamizwa.
| Umehluko omkhulu phakathi kukaProvigil no-Adderall | ||
|---|---|---|
| I-Provigil | Adderall | |
| Isigaba sezidakamizwa | Isikhuthazi sokuvuselela (i-psychostimulant) | Isikhuthazi sezinzwa eziphakathi |
| Isimo somkhiqizo / ejwayelekile | I-Brand ne-generic iyatholakala | I-Brand ne-generic iyatholakala |
| Ngubani igama elijwayelekile? | I-Modafinil | Usawoti we-Amphetamine (d-amphetamine ne-l-amphetamine) |
| Izidakamizwa zingena ngaziphi izinhlobo? | Amaphilisi omlomo | Amaphilisi omlomo namaphilisi akhishwa isikhathi eside |
| Uyini umthamo ojwayelekile? | 200 mg kanye ngosuku | I-5 mg kanye noma kabili nsuku zonke ifakwa ku-60 mg / ngosuku |
| Yelashwa isikhathi esingakanani? | Isikhathi eside (esingapheli) | Isikhathi eside (esingapheli) |
| Ubani ovame ukusebenzisa umuthi? | Intsha eneminyaka engu-17 nangaphezulu; abantu abadala | Izingane nentsha eneminyaka engu-3 ubudala nangaphezulu; abantu abadala |
Izimo eziphathwe nguProvigil no-Adderall
I-Provigil ne-Adderall bobabili bavunyelwe yi-Food and Drug Administration (FDA) ekwelapheni i-narcolepsy, kepha umuthi ngamunye unezinye izinkomba. I-Adderall ijwayele ukunikezwa inkomba yayo yokwelapha i-ADHD. I-Provigil isetshenzisiwe ngaphandle kwelebuli ekwelapheni i-ADHD. Ukusetshenziswa okungekho kwelebula ukusetshenziswa komuthi wenkomba ongavunyelwanga yi-Food and Drug Administration (FDA). I-Provigil ivunyelwe nakwezinye izinkinga ezihlobene nokulala, kufaka phakathi ukuphazamiseka kokusebenza kanye ne-apnea yokulala.
| Isimo | I-Provigil | Adderall |
| Ukuxokozela | Yebo | Yebo |
| Ukunaka ukungasebenzi kahle kwe-disorder (ADHD) | Ngaphandle kwelebula | Yebo |
| Isihift sokulala sokuphazamiseka kokulala | Yebo | Akunjalo |
| I-apnea yokulala evimbela | Yebo | Akunjalo |
| Ukukhathala | Ngaphandle kwelebula | Akunjalo |
Ngabe iProvigil noma i-Adderall isebenza kangcono?
I-American Academy of Sleep Medicine ishicilele umkhuba ojwayelekile imihlahlandlela , okubandakanya bobabili uProvigil no-Adderall njengabasebenza ngempumelelo ekwelapheni ubuthongo nokulala ngokweqile. Yomibili le mithi inamandla okwakha imikhuba, kepha isimo se-Adderall sikhombisa ukuthi kungenzeka ukwakheka kwemikhuba nokuhlukumeza kudlangile. I-Modafinil kukhonjisiwe ukuthi kunezehlakalo eziphansi zezehlakalo ezimbi futhi kubekezeleleke kahle okungenzeka kube namandla okuhlukumeza uma kuqhathaniswa nezinye izikhuthazi ze-CNS. Ngalezi zizathu, kuvame ukubhekwa njengokwelashwa komugqa wokuqala kwe-narcolepsy.
Umhlinzeki wakho wezokunakekelwa kwempilo kuphela ongaxilonga i-narcolepsy bese anqume ukuthi yiluphi ukwelashwa olungcono kakhulu kuwe.
Ukuqhathaniswa kanye nezindleko zokuqhathaniswa kwe-Provigil vs. Adderall
I-Provigil ngumuthi kadokotela ovame ukumbozwa umshuwalense wezohwebo. Ukuhlanganiswa ngamasu we-Medicare kungahluka noma kudinge ukwenziwa okukhethekile. I-Provigil ingabiza ngaphezu kwe- $ 950 ukuphuma ephaketheni, kepha ngesigqebhezana esivela kwaSingleCare, ungathola ukulethwa kwezinsuku ezingama-30 zojenali ngaphansi kuka- $ 60.
I-Adderall ngumuthi kadokotela ovame ukumbozwa umshuwalense wezohwebo. Ukuhlanganiswa ngamasu we-Medicare nakho kungahluka noma kudinge ukwenziwa okukhethekile. Amanani aphuma ephaketheni e-Adderall angaba ngaphezu kwama- $ 300. Nge-SingleCare ungathenga ifomu elijwayelekile ngenani eliphansi kakhulu. Vele wethule isigqebhezana se-SingleCare Adderall emakhemisi akhethiwe bese ucela okwejwayelekile.
| I-Provigil | Adderall | |
| Ngokuvamile embozwe umshwalense? | Yebo | Yebo |
| Imbozwe ngokwejwayelekile yi-Medicare Part D? | Akunjalo | Akunjalo |
| Umthamo ojwayelekile | 30, 200 amaphilisi mg | 60, 30 mg amaphilisi |
| I-Medicare copay ejwayelekile | n / a | n / a |
| Izindleko ze-SingleCare | $ 60- $ 270 | Hlola intengo nosokhemisi |
Imiphumela emibi ejwayelekile ye-Provigil vs. Adderall
Ngenkathi i-Provigil ne-Adderall zibangela izehlakalo ezithile ezifanayo, idatha yokwanda kwemiphumela emibi evela ku-Adderall ayitholakali kufakwa iphakheji. Zombili lezi zidakamizwa ziyaziwa ukuthi zibanga imiphumela emibi efana ne-hypertension (umfutho wegazi ophakeme) kanye ne-tachycardia (ukukhuphuka kwenhliziyo). I-Provigil ne-Adderall bobabili baziwa ngokubangela ukulahleka kwesifiso.
I-Provigil ingadala ikhanda kanye nesicanucanu kwinani elithile leziguli. Le miphumela emibi ingathinta impilo yansuku zonke nokukhiqiza, futhi uma ikhathaza futhi iphikelela, kufanele ukhulume nomhlinzeki wakho ukuze nixoxe ngezinye izindlela. Ungayeki ngokungazelelwe le mithi ngaphandle kolwazi lomhlinzeki wakho njengoba ungathola izimpawu zokuhoxa.
Uhlu olulandelayo aluhloselwe ukuba luhlu olubandakanya yonke imiphumela emibi engaba khona. Kufanele uthintane nomhlinzeki wakho wezokunakekelwa kwempilo ukuthola uhlu olugcwele lwemiphumela emibi.
| I-Provigil | Adderall | |||
| Umphumela oseceleni | Kusebenza? | Imvamisa | Kusebenza? | Imvamisa |
| Ubuhlungu bekhanda | Yebo | 3. 4% | Akunjalo | n / a |
| Isicanucanu | Yebo | ishumi nanye% | Akunjalo | n / a |
| Ukwesaba | Yebo | 7% | Akunjalo | n / a |
| Ukukhathazeka | Yebo | 5% | Akunjalo | n / a |
| Ubuhlungu besifuba | Yebo | 3% | Akunjalo | n / a |
| Umfutho wegazi ophezulu | Yebo | 3% | Yebo | Akuchaziwe |
| I-Tachycardia | Yebo | amaphesenti amabili | Yebo | Akuchaziwe |
| Ukubamba | Yebo | amaphesenti amabili | Yebo | Akuchaziwe |
| Ukuqwasha | Yebo | 5% | Yebo | Akuchaziwe |
| Ukuphelelwa isifiso sokudla | Yebo | 4% | Yebo | Akuchaziwe |
| Ukuhlanza | Akunjalo | n / a | Yebo | Akuchaziwe |
| Ukwehla kwesisindo | Akunjalo | n / a | Yebo | Akuchaziwe |
| Umlomo owomile | Yebo | 4% | Yebo | Akuchaziwe |
| Isiyezi | Yebo | 5% | Yebo | Akuchaziwe |
Umthombo: Provigil ( I-DailyMed I-Adderall ( I-DailyMed )
Ukusebenzisana kwezidakamizwa kukaProvigil no-Adderall
I-Adderall kufanele igwenywe ngokuhlanganiswa ne-monoamine oxidase inhibitors (MAOIs) efana ne-selegiline ne-Linezolid. I-MAO inhibitors ihamba kancane i-amphetamine metabolism, yandisa umphumela we-amphetamine ekukhishweni kwe-norepinephrine namanye ama-monoamine avela emithanjeni yezinzwa ebangela ikhanda nezinye izibonakaliso zenkinga yomfutho wegazi ophezulu. Ngenkathi kungaziwa ukuthi ngabe i-Provigil inomphumela ofanayo lapho inikezwa ngama-MAOIs, kunconywa ukuthi uvikele le nhlanganisela.
Izidakamizwa zeSerotonergic ezihlanganiswe ne-Adderall zingakhuphula izehlakalo zesifo se-serotonin. Lesi sifo singaholela ekutheni isiguli sizizwe sikhungathekile, sinesiyezi, futhi sikhuphuka izinga lokushaya kwenhliziyo. Ama-anti-depressants ajwayelekile afana ne-serotonin reuptake inhibitors akhethiwe kanye nama-norepinephrine reuptake inhibitors anemisebenzi ye-serotonergic futhi kufanele asetshenziswe ngokuqapha ngokuhambisana ne-Adderall.
Ithebula elilandelayo alibhalisi konke ukuxhumana kwezidakamizwa okungaba khona kweProvigil ne-Adderall. Xhumana nosokhemisi noma udokotela wakho ukuthola uhlu oluphelele nezeluleko zezokwelapha.
| Izidakamizwa | Isigaba sezidakamizwa | I-Provigil | Adderall |
| USelegiline Isocarboxazid I-Phenelzine I-Linezolid | I-Monoamine oxidase inhibitors (MAOIs) | Yebo | Yebo |
| I-Fluoxetine I-Paroxetine Sertraline I-Citalopram I-Escitalopram | I-serotonin reuptake inhibitors ekhethiwe (SSRIs) | Yebo | Yebo |
| I-Venlafaxine I-Duloxetine I-Desvenlafaxine | I-norepinephrine reuptake inhibitors ekhethiwe (SNRIs) | Akunjalo | Yebo |
| I-bicarbonate yesodium I-sodium lactate | I-Antacid | Akunjalo | Yebo |
| ISt. John's Wort | Isengezo | Yebo | Yebo |
| I-Topiramate | I-antiepileptic | Akunjalo | Yebo |
| I-Tramadol | Ukudambisa izinhlungu ze-opioid | Akunjalo | Yebo |
| I-Sumatriptan I-Rizatriptan I-Eletriptan Zolmitriptan I-Naratriptan Frovatriptan | Abaphikisi be-5HT3 (iTriptans) | Akunjalo | Yebo |
| I-Desipramine I-Protriptyline Amitriptyline I-Nortriptyline | I-Tricyclic antidepressants | Akunjalo | Yebo |
| Omeprazole Esomeprazole I-Pantoprazole URabeprazole I-Lansoprazole | IProton pump inhibitors (PPI) | Akunjalo | Yebo |
Izexwayiso zika-Provigil no-Adderall
I-Provigil ne-Adderall konke kuhlotshaniswe nokwanda kwemicimbi yenhliziyo efana nobuhlungu besifuba nokushaywa. I-Adderall ixhunyaniswe nokwanda kwemivimbo kanye ne-infarction ye-myocardial. Lokhu kungenzeka ukuthi kwenzeke kwiziguli ezinezimo zenhliziyo esezivele zikhona. Ababhali kufanele bahlole lezi zimo futhi basebenzise ukuqaphela okukhulu ekunikezeni le mithi ezigulini ezingaba nokungajwayelekile kwenhliziyo.
I-Provigil ne-Adderall kuhlotshaniswe nokwenyuka okulingene komfutho wegazi nokushaya kwenhliziyo. Lezi zinhlaka kufanele ziqashwe lapho iziguli zithatha izikhuthazi.
I-Provigil ne-Adderall zingakhuphula ukuphazamiseka kokuziphatha ezigulini ezinokuphazamiseka kwengqondo okukhona. Lezi ziguli kufanele ziqashwe ngeso lokhozi uma kudingeka izikhuthazi. Iziguli ezinomlando obalulekile wezifo zengqondo zingaba sengozini enkulu.
Ukusetshenziswa kwesikhathi eside kwe-Adderall ezinganeni nasebusheni kuye kwaxhunyaniswa nokucindezelwa kokukhula. Iziguli ezithola ukukhula kancane ngenkathi zinezikhuthazi zingakhuthazwa ukuthi zimise okwesikhashana ukwelashwa. Imvamisa, abahlinzeki bezokunakekelwa kwezempilo bancoma ukuthatha amakhefu ekwelashweni lapho izingane zingekho esikoleni, njengezimpelasonto, amaholide, namakhefu ehlobo.
Kuke kwaba nezimo zokuhlukunyezwa kukaProvigil no-Adderall kubafundi basekolishi. Bangayiphuza le mishanguzo, kwesinye isikhathi ngaphezu kwemithamo enconyiwe, ukukhulisa ukuphaphama ngezinhloso zokufunda kanye namahora amade okukhiqiza.
I-Provigil ixhunyaniswe nezehlakalo zeStevens-Johnson syndrome (SJS). I-SJS wuhlobo lokuphendula okunzima kwesikhumba lapho isikhumba sishwabana futhi sihlube sishiya izindawo ezibuhlungu, eziluhlaza esikhunjeni. Lokhu kungaholela kwezinye izifo ezinzima, kufaka phakathi i-sepsis.
Uma uke wezwa ukungezwani komzimba ne-Provigil, Adderall, noma izidakamizwa ezifanayo, akufanele uziphuze.
Imibuzo ebuzwa njalo nge-Provigil vs. Adderall
Yini i-Provigil?
I-Provigil umuthi kadokotela okhuthaza ukuphaphama futhi usetshenziselwa ukwelapha i-narcolepsy. Kubhekwa njenge-DEA into elawulwayo. I-Provigil iyatholakala njengethebhulethi yomlomo ngamandla amabili, i-100 mg, ne-200 mg.
Yini i-Adderall?
I-Adderall iyisikhuthazi se-CNS esisetshenziselwa ukwelashwa kwe-narcolepsy ne-ADHD. Ithathwa njenge-schedule II narcotic yi-DEA ngenxa yamandla ayo okuhlukumeza futhi itholakala ngomuthi kadokotela kuphela. I-Adderall itholakala ezinhlobonhlobo zamandla kuwo womabili amaphilisi akhishwa ngokushesha kanye nama-capsule akhishwe isikhathi eside.
Ngabe uProvigil no-Adderall bayafana?
U-Provigil no-Adderall ngamunye baphatha i-narcolepsy, kepha abafani. Indlela ka-Provigil ayiqondakali ngokuphelele, kepha u-Adderall uyaziwa ukuthi usebenza ezindleleni zesistimu yezinzwa emaphakathi. I-Adderall ithathwa njengomlutha kakhulu enekhono eliphakeme lokuhlukumezeka kune-Provigil.
Ngabe iProvigil noma i-Adderall ingcono?
I-Provigil ne-Adderall zombili izindlela zokwelashwa eziphumelelayo ze-narcolepsy. I-Provigil imvamisa ithathwa njengokwelashwa komugqa wokuqala kwe-narcolepsy ngenxa yokuba nephrofayili yokubekezelela okungcono.
Ngingayisebenzisa yini iProvigil noma i-Adderall ngikhulelwe?
I-Provigil ne-Adderall yizigaba C zokukhulelwa, okusho ukuthi azikho izifundo ezanele, ezilawulwayo ukusungula ukuphepha. Le mithi kufanele isetshenziswe kuphela ekukhulelweni lapho inzuzo ngokweqile idlula ubungozi.
Ngingasebenzisa i-Provigil noma i-Adderall ngotshwala?
Iziguli ku-Provigil nase-Adderall kufanele zinciphise ukuphuza kwazo utshwala. Ngokuqondile, utshwala bungakhuphula inani le-serum egazini le-Adderall, ngakho-ke ukusetshenziswa kotshwala okuphawulekayo kufanele kugwenywe.
Ngabe iProvigil yinto elawulwayo?
I-Provigil ithathwa njengesidakamizwa esilawulwa yisheduli IV yi-Drug Enforcing Agency (DEA) ngenxa yamandla ayo okwenza umkhuba. Kufanele isetshenziswe ngokuqapha ezigulini ezinomlando wokusebenzisa kabi izidakamizwa.
Ngabe iProvigil iyakusiza ukuthi ugxile?
I-Provigil isiza ukulawula umjikelezo wokulala nokuvuka, okuholela kumjikelezo wokuvuka oqaphile futhi okhiqizayo nokulala okungcono. Isetshenziswa ngaphandle kwelebuli ekwelapheni i-ADHD.
Ungathatha i-modafinil nsuku zonke?
I-Provigil yinto elawulwayo futhi ingaba umkhuba. Iziguli okufanele zibe kuso isikhathi eside kufanele ziqashwe ngeso lokhozi ukuthola izimpawu zokuncika noma zokuhlukunyezwa.











