I-Qvar vs. Flovent: 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-Qvar neFlovent yimithi egama lomkhiqizo esetshenziselwa ukulawula nokuvikela izimpawu ze-asthma. Kubhekwa njengesondlo, noma isilawuli, imishanguzo esiza ukuvimbela izimpawu ezinjengokuphefumula, ukuphefumula, nokukhwehlela kulabo abane-asthma. I-Qvar neFlovent zingathengwa kuphela ngomuthi kadokotela.
UQvar noFlovent basekilasini lemithi ebizwa nge-inhaled corticosteroids. Basebenza ngokulawula nokunciphisa ukuvuvukala emaphashini nasemigwaqweni yomoya. Ngokunciphisa ukuvuvukala ezindleleni zomoya, i-corticosteroids ehogelwe inganciphisa izinkinga zokuphefumula kumuntu one-asthma. I-Qvar ne-Flovent akuzona izihlengo zokutakula futhi akufanele zisetshenziselwe ukuhlaselwa yisifuba somoya. Funda ukuze ufunde kabanzi ngomehluko phakathi kweQvar neFlovent.
Uyini umehluko omkhulu phakathi kweQvar neFlovent?
Yize zinokusetshenziswa okufanayo, iQvar neFlovent ziqukethe izithako ezahlukahlukene ezisebenzayo. I-Qvar iqukethe i-corticosteroid beclomethasone ngenkathi i-Flovent iqukethe i-corticosteroid fluticasone.
Kokubili iQvar neFlovent kuyatholakala ngezindlela ezifanayo; bobabili beza njengama-inhalers we-metered-dose aqukethe i-aerosol ye-inhalation. Kodwa-ke, iFlovent iyatholakala njenge-diskus, noma i-inhaler eyimpuphu eyomile.
I-Qvar Redihaler iza ngamandla we-40 noma ama-80 mcg ku-actuation ngayinye. I-inhaler ye-Flovent HFA itholakala ngamandla we-44, 110, noma i-220 mcg nge-actuation ngayinye kanti i-Flovent Diskus itholakala ngamandla we-50, 100, noma ama-250 mcg nge-foil blister.
| Umehluko omkhulu phakathi kweQvar neFlovent | ||
|---|---|---|
| Qvar | I-Flovent | |
| Isigaba sezidakamizwa | I-corticosteroid engatholakali (ICS) | I-corticosteroid engatholakali (ICS) |
| Isimo somkhiqizo / ejwayelekile | Ayikho inguqulo ejwayelekile etholakalayo | Ayikho inguqulo ejwayelekile etholakalayo |
| Ngubani igama elijwayelekile? | I-Beclomethasone dipropionate | I-Fluticasone propionate |
| Izidakamizwa zingena ngaziphi izinhlobo? | I-inhalation aerosol (i-metered-dose inhaler) | I-inhalation aerosol (i-metered-dose inhaler) Inhalation powder (i-diskus) |
| Uyini umthamo ojwayelekile? | Ukwelashwa kwesifuba somoya ezigulini ezineminyaka engu-12 nangaphezulu: 40 mcg noma 80 mcg kabili nsuku zonke Ukwelashwa kwesifuba somoya ezigulini ezineminyaka engu-4 kuya kwengu-11 ubudala: 40 mcg, 80 mcg, 160 mcg, noma 320 mcg kabili ngosuku | I-Flovent HFA Ukwelashwa kwesifuba somoya ezigulini ezineminyaka engu-4 nangaphezulu: 88 mcg kabili nsuku zonke UFlovent Diskus Ukwelashwa kwesifuba somoya ezigulini ezineminyaka engu-4 kuya kwengu-11 ubudala: 50 mcg kabili nsuku zonke |
| Yelashwa isikhathi esingakanani? | Isikhati eside | Isikhati eside |
| Ubani ovame ukusebenzisa umuthi? | Abantu abadala nezingane ezineminyaka engu-4 nangaphezulu | Abantu abadala nezingane ezineminyaka engu-4 nangaphezulu |
Imibandela ephathwa yiQvar neFlovent
I-Qvar neFlovent zivunyelwe njenge-FDA njengezindlela zokwelapha isifuba somoya kubantu abadala nasezigulini zezingane ezineminyaka engu-4 nangaphezulu. Njengendlela yokwelapha yesondlo, iQvar neFlovent zingasetshenziswa ukulawula nokuvikela izimpawu ze-asthma. Kokubili iQvar neFlovent kungasiza futhi ekuvikeleni i- ukuhlaselwa yisifuba somoya , noma ukukhuphuka kwesifuba somoya.
I-Qvar neFlovent kufanele zithathwe nsuku zonke ukulawula izimpawu ze-asthma. Kungathatha amasonto amabili ukuthi ama-corticosteroids ahogelwe afinyelele ekusebenzeni okuphezulu. Ngokusho kweNational Institutes of Health (NIH), abanye abantu abane-asthma ephikisayo noma ephansi bangakwazi ukuthatha iQvar noma iFlovent ngezikhathi ezithile, noma lapho kudingeka .
I-Qvar neFlovent akumele zisetshenziswe njengezidonsa umoya. Ama-corticosteroid ahogelwayo afana neQvar neFlovent ajwayelekile anqunywe nge-inhaler yokutakula efana ne-albuterol ukusiza ukuqeda ukuhlaselwa yisifuba somoya.
| Isimo | Qvar | I-Flovent |
| Isifuba Somoya | Yebo | Yebo |
Ngabe iQvar noma iFlovent isebenza kangcono?
Kokubili iQvar neFlovent yimithi ephumelelayo yokuphathwa kwesifuba somoya. Isici esibaluleke kakhulu esinquma ukusebenza kweQvar noma iFlovent ukuthi zisetshenziswa kaningi kangakanani. Ama-corticosteroids adonsa ngaphakathi kufanele asetshenziswe njalo ukuze asebenze kahle. Ngaphandle kwalokho, umuntu one-asthma angabhekana nezimpawu ze-asthma eziya ziba zimbi noma ukuhlaselwa yisifuba somoya okungadala ukulaliswa esibhedlela.
Isilingo esisodwa somtholampilo esingahleliwe, esimpumputhe kabili siqhathanisa ngqo i-beclomethasone dipropionate ne-fluticasone propionate ezigulini ezingaba ngu-400 ezine-asthma ephikelelayo. Ekupheleni kwesivivinyo, ukusetshenziswa kwe-fluticasone propionate kuholele ku- ukuthuthuka okungcono kakhulu ekusebenzeni kwamaphaphu nokwehla kwezimpawu zesifuba somoya uma kuqhathaniswa ne-beclomethasone dipropionate. Yomibili le mithi kwatholakala ukuthi inephrofayili efanayo yokuphepha.
Ukuhlaziywa okukodwa kwe-meta kutholakale ukuthi ama-corticosteroids adonsa ngaphakathi kusebenza kahle ngemithamo ephansi noma elinganiselayo yokwelapha i-asthma. Ama-corticosteroids anomthamo ophezulu awakhiqizi nzuzo eyengeziwe yomtholampilo futhi angaba nengozi eyengeziwe yemiphumela emibi.
Xhumana nomhlinzeki wezokunakekelwa kwempilo ukuthola ukwelashwa kwesifuba okungcono kakhulu okusebenzelayo. Uma izimpawu ze-asthma zingathuthuki nge-corticosteroid kuphela, umhlinzeki wezokunakekelwa kwempilo anganikeza i-bronchodilator esebenza isikhathi eside ngokuhambisana ne-corticosteroid. Inhalers yokuhlanganisa ihlanganisa i-Advair (i-fluticasone / i-salmeterol), i-Dulera (i-mometasone / i-formoterol), ne-Symbicort (i-budesonide / i-formoterol).
Ukuqhathaniswa kanye nezindleko zeQvar vs.Flovent
I-Qvar ayitholakali njengomuthi ojwayelekile. Ngakho-ke, kungabiza ngentengo emaphakathi yokuthengisa ezungeze u- $ 544. Amanye ama-Medicare nezinhlelo zomshuwalense zingahlanganisa ingxenye yezindleko zeQvar. Ukusebenzisa ikhadi lesaphulelo kusuka ku-SingleCare kungehlisa izindleko zeQvar ziye cishe ku- $ 210.
NjengoQvar, iFlovent itholakala kuphela ekwakhiweni kwegama lomkhiqizo. Kodwa-ke, iFlovent ingaba yindlela eshibhile kuneQvar. Iningi le-Medicare nezinhlelo zomshuwalense zizohlanganisa incwadi kadokotela ye-Flovent. Ngaphandle komshuwalense, intengo yemali emaphakathi yeFlovent HFA ingu- $ 347 kanti inani lentengo lemali leFlovent Diskus cishe liyi- $ 279. Ukusebenzisa ikhadi lokonga elivela kwaSingleCare kungasiza ekwehliseni izindleko zeFlovent HFA noma iFlovent Diskus inhaler iye ku- $ 217 naku- $ 176.
| Qvar | I-Flovent | |
| Ngokuvamile embozwe umshwalense? | Yebo | Yebo |
| Imbozwe ngokujwayelekile yi-Medicare Part D? | Yebo | Yebo |
| Ubuningi | 1 i-inhaler | 1 i-inhaler |
| I-Medicare copay ejwayelekile | $ 24- $ 293 | $ 3– $ 297 |
| Izindleko ze-SingleCare | $ 208 + | $ 217 + |
Imiphumela emibi ejwayelekile yeQvar vs. Flovent
UQvar noFlovent babelana ngemiphumela efanayo. Njengama-corticosteroids ahogelwayo, le mithi ingadala imiphumela emibi efana nezifo eziphezulu zokuphefumula, i-nasopharyngitis, i-rhinitis, ne-sinusitis. Yomibili le mithi nayo ingadala ikhanda, ukukhwehlela, nesicanucanu, phakathi kweminye imiphumela emibi.
I-Qvar noma i-Flovent ingadala ubungozi obandayo be-thrush yomlomo, noma izifo zesikhunta emlonyeni. Umlomo kufanele uhlanzwe ngamanzi ngaphandle kokugwinya ngemuva kokusebenzisa i-corticosteroid ehogelwe njengeQvar noma iFlovent. Idivayisi ebizwa ngokuthi i-spacer ingasetshenziswa ne-inhaler ye-Flovent HFA ukunciphisa ubungozi be-thrush yomlomo.
Imiphumela emibi ye-corticosteroids ehogelwayo ifaka phakathi i-bronchospasm ephikisayo kanye nokusabela kwe-hypersensitivity. I-bronchospasm ephikisayo ingenzeka ngokushesha ngemuva kokusebenzisa i-corticosteroid ehogelwayo futhi ifaka izimpawu ezifana nokuhefuzela okunzima nokuphefumula okuncane. Ukusabela kwe-Hypersensitivity njengokushaywa okukhulu, ukuvuvukala, kanye nenkinga yokuphefumula kungenzeka kulabo abaphikisayo kunoma yiziphi izithako kule mithi. Funa usizo lwezokwelapha ngokushesha uma uhlangabezana nezimpawu nezimpawu ze-bronchospasm noma ukusabela kwe-hypersensitivity.
| Qvar | I-Flovent | |||
| Umphumela oseceleni | Kusebenza? | Imvamisa | Kusebenza? | Imvamisa |
| I-thrush yomlomo | Yebo | ≥3% | Yebo | > 3% |
| Ukutheleleka okuphezulu okuphefumulayo | Yebo | ≥3% | Yebo | > 3% |
| I-Nasopharyngitis | Yebo | ≥3% | Yebo | > 3% |
| I-Rhinitis | Yebo | ≥3% | Yebo | > 3% |
| Isinusitis | Yebo | ≥3% | Yebo | > 3% |
| Ubuhlungu bekhanda | Yebo | ≥3% | Yebo | > 3% |
| Khwehlela | Yebo | ≥3% | Yebo | > 3% |
| Isicanucanu | Yebo | ≥3% | Yebo | > 3% |
Ukuvama akususelwa kudatha evela esivivinyweni sekhanda kuya ekhanda. Lokhu kungenzeka kungabi uhlu oluphelele lwemiphumela emibi engenzeka. Sicela ubheke udokotela wakho noma umhlinzeki wezokunakekelwa kwempilo ukuze ufunde kabanzi.
Umthombo: DailyMed ( Qvar ), IDailyMed ( I-Flovent )
Ukusebenzisana kwezidakamizwa kweQvar vs. Flovent
Ama-corticosteroids angenisiwe njengeQvar neFlovent kufanele agwenywe noma abhekwe ngenkathi ethatha imishanguzo esebenza njenge-CYP3A4 inhibitors. Ukuthatha le mithi kungakhuphula amazinga egazi e-corticosteroids, angakhuphula ubungozi bemiphumela emibi. Izibonelo ze-CYP3A4 inhibitors zifaka i-ritonavir, i-ketoconazole, ne-clarithromycin.
Ama-Corticosteroids kufanele agwenywe noma aqashwe ngenkathi uthatha imishanguzo yokuzivikela. Izidakamizwa ze-immunosuppressant zingawenza buthaka amasosha omzimba futhi zenze ukuthi umuntu angenwe kalula yizifo, ikakhulukazi uma nazo zithatha i-corticosteroid. Izidakamizwa ze-immunosuppressant zifaka i-azathioprine ne-cyclosporine. Ngenxa yokuthi zingena kancane egazini, ama-corticosteroids ahogelwayo angahle angahlangani nezinye izidakamizwa njenge-corticosteroids yomlomo.
| Izidakamizwa | Isigaba Sezidakamizwa | Qvar | I-Flovent |
| I-Ritonavir Atazanavir Ketoconazole I-Clarithromycin I-Indinavir I-Itraconazole I-Nefazodone UNelfinavir I-Saquinavir | I-CYP3A4 inhibitors | Yebo | Yebo |
| I-Azathioprine ICyclosporine IMethotrexate | Ama-immunosuppressants | Yebo | Yebo |
Thintana nochwepheshe wezokunakekelwa kwempilo mayelana nokunye ukuxhumana kwezidakamizwa okungenzeka
Izexwayiso zeQvar neFlovent
I-corticosteroids emuncu ingadala ukwehla kwamathambo amaminerali, ikakhulukazi ngesikhathi sokusebenzisa isikhathi eside. Iziguli ezine-osteoporosis noma ingozi eyandayo ye-osteoporosis kufanele igweme i-corticosteroids noma ihlolwe kulo lonke ukwelashwa.
I-corticosteroids ehogelwe ingacindezela amasosha omzimba futhi inyuse ubungozi bokutheleleka, ikakhulukazi uma isetshenziswa ngemithamo ephezulu isikhathi eside. Iziguli ezisengozini yokungenwa yizifo kufanele zigweme i-corticosteroids emuncu noma ihlolwe kulo lonke ukwelashwa.
I-corticosteroids emuncwe ingadala ingozi eyengeziwe ye- i-glaucoma namakhathakhatha. Iziguli ezinomlando wokukhuphuka kwengcindezi ye-intraocular noma ukungaboni kahle kufanele ziqashwe ngenkathi zisebenzisa i-corticosteroid emuncu efana neQvar noma iFlovent.
Khuluma nomhlinzeki wezokunakekelwa kwempilo mayelana nezinye izixwayiso nezinyathelo zokuqapha ngaphambi kokusebenzisa i-corticosteroid emuncu.
Imibuzo ebuzwa njalo ngeQvar vs. Flovent
Yini uQvar
I-Qvar ngumuthi we-corticosteroid ohogelwayo osetshenziselwa ukulawula nokuvimbela izimpawu zesifuba somoya. Itholakala njenge-inhalation aerosol ku-inhaler ye-metered-inhaler. I-Qvar yenziwe yiTeva Pharmaceuticals. I-Qvar iqukethe i-beclomethasone futhi ivame ukuthathwa kabili ngosuku ukwelapha i-asthma.
Yini iFlovent?
I-Flovent ngumuthi we-corticosteroid ohogelwayo osetshenziselwa ukuphatha nokuvikela izimpawu ze-asthma. Itholakala njenge-inhalation aerosol noma i-inhalation powder. IFlovent yenziwe nguGlaxoSmithKline. Iqukethe i-fluticasone futhi ivame ukuthathwa kabili nsuku zonke ukwelapha i-asthma.
Ngabe iQvar neFlovent ziyefana?
I-Qvar ne-Flovent zombili ziqukethe i-corticosteroid, kepha azifani. I-Qvar iqukethe i-beclomethasone ne-Flovent iqukethe i-fluticasone. I-Qvar neFlovent nazo ziza ngezindlela ezahlukahlukene; I-Qvar iyatholakala njenge-inosation aerosol ngenkathi i-Flovent itholakala njenge-inosation aerosol ne-inhalation powder.
Ngabe iQvar noma iFlovent ingcono?
I-Qvar neFlovent yomibili imishanguzo esebenzayo yokulawulwa kwesifuba somoya. Abanye izifundo ziphakamisa ukuthi i-Flovent isebenza kahle ngemithamo ephansi kune-Qvar. Kodwa-ke, yomibili le mithi inemiphumela efanayo efanayo. I-corticosteroid ephefumulelwe kakhulu yileyo esetshenziswa njalo ukulawula nokuvikela izimpawu ze-asthma. Xhumana nomhlinzeki wezokunakekelwa kwezempilo ngemithi ye-asthma engcono kakhulu kuwe.
Ngingayisebenzisa iQvar noma iFlovent ngikhulelwe?
Ayikho idatha eyanele ekhombisa ukuthi iQvar noma iFlovent iphephe ngokuphelele noma iyingozi ngesikhathi sokukhulelwa. Kodwa-ke, ngoba i-corticosteroids ehogelwayo inokumuncwa okulinganiselwe egazini, kubhekwa njengokuvikelekile ngokuvamile ngesikhathi sokukhulelwa. Xhumana nomhlinzeki wezokunakekelwa kwempilo ngezindlela ezingcono kakhulu zokwelashwa kwe-asthma ngenkathi ukhulelwe.
Ngingayisebenzisa iQvar noma iFlovent ngotshwala?
Akukho ukuxhumana kwezidakamizwa okwaziwayo notshwala neQvar noma iFlovent. Kodwa-ke, ukuphuza utshwala kubikwe ukuthi kube yi- kubangela izimpawu ze-asthma kwabanye abantu. Khuluma nomhlinzeki wezokunakekelwa kwempilo ngokuthi kuphephile yini ukuphuza utshwala ngenkathi uthatha i-corticosteroid ehogelwayo efana neQvar noma iFlovent.
Luhlobo luni lwe-inhaler i-Qvar?
I-Qvar iyi-inhaler yesondlo ye-asthma equkethe i-corticosteroid ebizwa nge-beclomethasone. Kufanele isetshenziswe ngokungaguquguquki nsuku zonke ukuze isebenze kahle kakhulu. Njenge-corticosteroid ehogelwe ngaphakathi, uQvar kungenzeka angaqali ukuhlinzeka ngenzuzo enkulu kuze kube yisonto elilodwa noma amabili ngemuva kokuqala ukwelashwa.
Yini i-steroid inhaler engcono kakhulu yesifuba somoya?
I-steroid inhaler engcono kakhulu oyisebenzisa njalo ukuvimbela nokulawula izimpawu ze-asthma. Ama-corticosteroids angenayo afaka phakathi i-Alvesco (ciclesonide), i-Qvar (beclomethasone), i-Flovent (i-fluticasone), i-Pulmicort (i-budesonide) ne-Asmanex (i-mometasone). Ukusebenza komuthi kuzoncika ekwakhiweni nasemthamo. Ezinye izinto ezinjengemiphumela emibi nezindleko nazo kufanele zicatshangelwe lapho kukhethwa i-inhaler engcono kakhulu ye-steroid yesifuba somoya. Khuluma nomhlinzeki wezokunakekelwa kwezempilo ukuze unqume i-steroid inhaler engcono kakhulu kuwe.
Ngabe iQvar iyayithinta amasosha akho omzimba?
I-Qvar iqukethe i-corticosteroid ebizwa nge-beclomethasone, engacindezela noma yenze buthakathaka amasosha omzimba. Njengamanye ama-corticosteroids, i-Qvar kufanele isetshenziswe ngokuqapha noma igwenywe ezigulini ezingakwazi ukuzivikela emzimbeni noma njengamanje ezithatha ama-immunosuppressants. Kungaba nengozi eyengeziwe yokutheleleka okuthe xaxa ngenkathi uthatha i-corticosteroids. Labo abanomlando wesifo sofuba, ukhunta, ibhaktheriya, ukutheleleka ngegciwane noma ukuphazamiseka kunganconywa ukuthi basebenzise i-corticosteroids ngokuqapha.











