I-Restoril vs. Ambien: 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-Restoril ne-Ambien yimithi emibili kadokotela esetshenziswa ekwelapheni ukuqwasha. Ukuqwasha kuyinkinga yokulala ebonakala ngokuba nenkinga yokulala, ukulala, noma ukulala kahle. Ukuntuleka kokulala kungashiya iziguli zizizwe zilele futhi zingavikelekile, okwenza imisebenzi yansuku zonke ibe nzima.
Ukuqwasha kungahlukaniswa ngezindlela ezimbili: ukuqwasha kwesikhashana kungahlala izinsuku noma amasonto ambalwa futhi kuvame ukulethwa ushintsho esimisweni noma kwizingcindezi, futhi ukuqwasha okungapheli kwenzeka ubusuku obuthathu noma ngaphezulu ngesonto ngaphezulu kwezinyanga ezintathu noma ngaphezulu futhi akunakuchazwa ngokushintsha impilo, imithi, noma enye imbangela eyaziwayo. Abahlinzeki bezokunakekelwa kwempilo bangaphakamisa ushintsho kwezemvelo kanye nokwelashwa kokuziphatha kwengqondo ngaphambi kokuqala imithi yokusiza ngokulala.
I-Restoril ne-Ambien bobabili belapha izinhlobo zokuqwasha, yize zingafani. Sizodingida umehluko wabo lapha.
Uyini umehluko omkhulu phakathi kweRestoril ne-Ambien?
I-Restoril (temazepam) ngumuthi kadokotela osetshenziswa ekwelapheni ukuqwasha kwesikhashana. I-benzodiazepine esetshenziswa njenge-sedative-hypnotic. I-Benzodiazepines yizicindezeli zesistimu yezinzwa eziphakathi (CNS). Ukudangala kwe-CNS kuholela emiphumeleni eminingi kufaka phakathi i-sedation, i-hypnosis, i-anticonvulsant, nokuphumula kwemisipha. Le miphumela ilethwa ngokubopha okungacacisiwe kuma-gamma-aminobutyric acid-A (GABA-A) ama-receptors anama-omega subunits amaningi, ngalinye elibhekele imiphumela ehlukahlukene. I-Restoril iyatholakala njenge-capsule yomlomo emandleni ka-7.5 mg, 15 mg, 22.5 mg, no-30 mg. I-Restoril ithathwa njengezinto ezilawulwayo yi-Drug Enforcing Agency (DEA) ngoba ingahle ibe ngumkhuba futhi ibe namandla okuhlukumeza.
I-Ambien (zolpidem) ngumuthi kadokotela osetshenziswa ekwelapheni ukuqwasha kwesikhashana, ikakhulukazi ezigulini eziqala ukulala nokugcina ukulala kuyisithiyo. I-Ambien iyi-modulator enhle ku-GABA-A receptor futhi kodwa yehlukile kuma-benzodiazepines ngoba inobumbano oluphakeme ikakhulukazi i-omega-1 subunit ye-GABA-A receptor. I-Ambien iyi-non-benzodiazepine sedative-hypnotic. Lokhu kucatshangwa ukuthi kuchaza ukuthi kungani i-Ambien inomphumela ongathandeki, kepha akukho miphumela ehlobene nokuphumula kwemisipha, ukukhathazeka, noma umsebenzi wokubamba. I-Ambien iyatholakala njengethebhulethi ekhishwa ngokushesha ngomlomo ku-5 mg no-10 mg, kanye namathebulethi akhululiwe ku-6.25 mg naku-12.5 mg. I-Ambien nayo ibonakaliswa njengezinto ezilawulwayo yi-DEA.
| Umehluko omkhulu phakathi kweRestoril ne-Ambien | ||
|---|---|---|
| I-Restoril | Ambien | |
| Isigaba sezidakamizwa | I-Benzodiazepine | I-sedative engeyona i-benzodiazepine |
| Isimo somkhiqizo / ejwayelekile | I-Brand ne-generic iyatholakala | I-Brand ne-generic iyatholakala |
| Ngubani igama elijwayelekile? | I-Temazepam | Zolpidem |
| Izidakamizwa zingena ngaziphi izinhlobo? | Ama-capsules omlomo | Amathebulethi akhishwa ngokushesha nangokunwetshiwe omlomo |
| Uyini umthamo ojwayelekile? | 30 mg ngesikhathi sokulala | 10 mg ngesikhathi sokulala |
| Yelashwa isikhathi esingakanani? | Izinsuku ezimbalwa kuya emavikini | Izinyanga |
| Ubani ovame ukusebenzisa umuthi? | Abantu abadala | Abantu abadala |
Izimo ezilashwa nguRestoril no-Ambien
I-Restoril ikhonjiswa ekwelapheni ukuqwasha kwesikhashana. Ukuqwasha kwesikhashana esifushane kuhlala izinsuku ezimbalwa noma amasonto futhi ngokuvamile kuhlotshaniswa nokucindezela okuthile noma ushintsho kusheduli yokulala.
I-Ambien, ngendlela yayo ekhishwa ngokushesha, isetshenziswa ekuqwashiseni kwesikhashana okuvezwa ubunzima bokuqalisa ukulala, noma ukulala. I-Ambien CR, ukwakheka okunwetshiwe, kusetshenziselwa ukwelapha ukuqwasha okunenkinga yokuqalisa ukulala kanye / noma ukugcinwa kokulala noma ukulala.
| Isimo | I-Restoril | Ambien |
| Ukuqwasha kwesikhashana | Yebo | Yebo |
| Ukuqwasha okungapheli (ngenkinga yokuqalisa noma ukulala) | Akunjalo | Yebo |
Ingabe i-Restoril noma i-Ambien isebenza kangcono?
URetoril no-Ambien bafaniswa endaweni elawulwa yi-placebo isilingo somtholampilo . Leli cala lifaka ngaphezu kweziguli ezingama-600 ezinezinkinga zokuqwasha zesikhashana, noma zesikhashana. Ngenkathi zombili lezi zidakamizwa zikhonjiswa ukuthi zithuthukisa ukusebenza kahle kokulala uma kuqhathaniswa ne-placebo, u-Ambien wayephakeme ekwehliseni inani lokuvuka ngemuva kokuqala kokulala. Ngamanye amagama, iziguli bezingenamathuba amaningi okuthi zivuke ubusuku bonke ne-Ambien uma kuqhathaniswa neRestoril. Njengoba unikezwe lolu lwazi, futhi ucabangela ukuthi i-Ambien igwema imiphumela engadingeki ekuphumuzeni kwemisipha nomsebenzi wokubamba, umqondisi wakho angakhetha i-Ambien ngokulala kwakho kwesikhashana.
Udokotela wakho kuphela onganquma ukuthi imuphi umuthi olungele wena nenkinga yakho yokulala. Lokhu akuhloselwe ukuba kube iseluleko sezokwelapha.
Ukuqhathaniswa kanye nezindleko zokuqhathaniswa kweRestoril vs. Ambien
I-Restoril imbozwa ngezinhlelo zomshuwalense wezohwebo, kepha imvamisa ayimboziwe ngamasu wezidakamizwa ze-Medicare. Inani elikhishwa ephaketheni leRestoril cishe lingama- $ 60, kepha ngesigqebhezana esivela kwaSingleCare, ungehlisa intengo ejwayelekile ifike ku- $ 10 emakhemisi abambe iqhaza.
I-Ambien nayo ivame ukumbozwa ngamasu omshwalense wokuhweba, kepha imvamisa ayihlanganiswa yizinhlelo zezidakamizwa zeMedicare. Intengo ephuma ephaketheni yegama lomkhiqizo i-Ambien ingahle ifike ku- $ 600- $ 700. Isigqebhezana seSingleCare se-generic Ambien (zolpidem tartratean) singehlisa intengo iye ku- $ 14 emakhemisi amaningi.
| I-Restoril | Ambien | |
| Ngokuvamile embozwe umshwalense? | Yebo | Yebo |
| Imbozwe ngokujwayelekile yi-Medicare Part D? | Cha, ukukhishwa kuncike ohlelweni | Cha, ukukhishwa kuncike ohlelweni |
| Ubuningi | 30, 30 mg amaphilisi | 30, 10mg amaphilisi akhishwa ngokushesha |
| I-Medicare copay ejwayelekile | n / a | n / a |
| Izindleko ze-SingleCare | $ 10- $ 37 | $ 14- $ 29 |
Imiphumela emibi ejwayelekile yeRestoril vs. Ambien
I-Restoril ne-Ambien banenqwaba yemiphumela emibi engaba khona. Ukuphathwa ikhanda, ukukhathala nokwesaba kungenzeka ngazo zombili izidakamizwa. Zombili lezi zidakamizwa zinamandla okushiya iziguli zinomphumela we-hangover noma umuzwa wezidakamizwa, ongathinta ukusebenza kwansuku zonke. Kubalulekile ukuhlela ukuhlela ukulala okungenani amahora ayisishiyagalombili ngemuva kokuthatha le mithi ukuze usize ukugwema lo mphumela.
Amaphupho amabi, amaphupho acacile namaphupho angajwayelekile kungenzeka ngeRestoril ne-Ambien. Kwezinye izimo, kube nemibiko yokudla ngokweqile, ukwenza ucansi, nezinye izinto ezingajwayelekile ngenkathi iziguli kubikwa ukuthi zisalele (ukulala). Le miphumela emibi engaba khona kufanele ixoxwe nodokotela wakho.
Lokhu akuhloselwe ukufaka kuhlu yonke imiphumela engaba khona yale mithi. Udokotela wakho angaxoxa ngeminye imiphumela emibi engaba khona.
| I-Restoril | Ambien | |||
| Umphumela oseceleni | Kusebenza? | Imvamisa | Kusebenza? | Imvamisa |
| Ukozela | Yebo | 9.1% | Yebo | 8% |
| Ubuhlungu bekhanda | Yebo | 8.5% | Yebo | Akuchaziwe |
| Ukukhathala | Yebo | 4.8% | Yebo | Akuchaziwe |
| Ukwesaba | Yebo | 4.6% | Yebo | Akuchaziwe |
| Imikhuba emibi | Yebo | 4.5% | Yebo | 3% |
| Isiyezi | Yebo | 4.5% | Yebo | 5% |
| Amaphupho angajwayelekile | Akunjalo | n / a | Yebo | 1% |
| Isicanucanu | Yebo | 3.1% | Yebo | Akuchaziwe |
| Hangover | Yebo | 2.5% | Yebo | 3% |
| Ukukhathazeka | Yebo | 2.0% | Yebo | Akuchaziwe |
| Ukucindezeleka | Yebo | 1.7% | Akunjalo | n / a |
| Umlomo Oomile | Yebo | 1.7% | Yebo | 3% |
| Uhudo | Yebo | 1.7% | Yebo | 3% |
| Ubuhlungu Besisu | Yebo | 1.5% | Yebo | amaphesenti amabili |
| Ukuqunjelwa | Akunjalo | n / a | Yebo | amaphesenti amabili |
| I-Euphoria | Yebo | 1.5% | Yebo | Akuchaziwe |
| Ubuthakathaka | Yebo | 1.4% | Akunjalo | n / a |
| Ukudideka | Yebo | 1.3% | Yebo | Akuchaziwe |
| Ukubona okufiphele | Yebo | 1.3% | Akunjalo | n / a |
| Amaphupho amabi | Yebo | 1.2% | Akunjalo | n / a |
| I-Vertigo | Yebo | 1.2% | Yebo | Akuchaziwe |
| Ukungezwani komzimba | Akunjalo | n / a | Yebo | 4% |
Umthombo: Restoril ( I-DailyMed Ambien ( I-DailyMed )
Ukusebenzisana kwezidakamizwa kweRestoril vs. Ambien
I-Restoril ne-Ambien bobabili banemiphumela yokudangala ye-CNS, futhi ukusetshenziswa kwabo okuhambisanayo nezinye izidambisi ze-CNS kungaholela komphumela wokungezwa, ongaba yingozi. Okuphawuleka kakhulu, ukusetshenziswa kwe-opiate pain relievers kungaholela ekucindezelekeni okukhulu kokuphefumula futhi mhlawumbe nasekufeni. Ukwehlisa izinhlungu okuvamile kwe-opiate kufaka phakathi i-codeine, i-hydrocodone, ne-oxycodone.
I-caffeine, ikakhulukazi uma idliwe ngesikhathi ngaphambi nje kokuthatha i-Restoril noma i-Ambien, ingaphikisana nemiphumela oyifunayo ye-Restoril ne-Ambien. I-Caffeine iphambene ngokwemvelo neRestoril ne-Ambien ngoba ivuselela isimiso sezinzwa esiyinhloko.
Ama-antihistamine asetshenziswa ngokujwayelekile, njengeBenadryl (diphenhydramine), nawo angadala ubuthongo obukhulu futhi akufanele anikezwe ngeRestoril ne-Ambien njengoba umphumela wokungezelela ungaba yingozi.
Lokhu akuhloselwe ukuthi kube luhlu olubandakanya konke ukuhlangana okungenzeka kube khona kwezidakamizwa. Sicela uxhumane nosokhemisi wakho noma uchwepheshe wezokunakekelwa kwempilo ukuthola uhlu oluphelele.
| Izidakamizwa | Isigaba sezidakamizwa | I-Restoril | Ambien |
| ICodeine I-Hydrocodone I-Morphine I-Hydromorphone I-Oxycodone | Ubuhlungu be-opioid buyadambisa | Yebo | Yebo |
| Ikhafeyini | Ukulingisa | Yebo | Yebo |
| I-Aripiprazole Olanzapine I-Quetiapine | Ama-antipsychotic e-Atypical | Yebo | Yebo |
| I-Brompheniramine I-Chlorpheniramine I-Diphenhydramine I-Hydroxyzine ICetirizine | Ama-antihistamine | Yebo | Yebo |
| I-Carisoprodol I-Metaxalone ICyclobenzaprine | Ukuphumula kwemisipha | Yebo | Yebo |
| Clonidine | I-Alpha agonist | Yebo | Akunjalo |
| I-Tramadol | Ukudambisa ubuhlungu be-Mu-opioid | Yebo | Yebo |
| I-Trazodone | I-anti-depressant | Yebo | Yebo |
| Amitriptyline I-Doxepin Nortriptyline Imipramine | I-Tricyclic antidepressants | Yebo | Yebo |
| I-Citalopram I-Escitalopram I-Fluoxetine Sertraline | I-serotonin reuptake inhibitors ekhethiwe (SSRIs) | Akunjalo | Yebo |
Izexwayiso zeRestoril ne-Ambien
Ukusetshenziswa kweRestoril ne-Ambien nezinye izidambisi ze-CNS, ezinjengokudambisa izinhlungu ze-opioid, kungaholela ekuthambekeni okujulile, ukucindezelwa ukuphefumula, ikhoma, ngisho nokufa. Ukusetshenziswa kweRestoril ne-Ambien ndawonye kufanele kugwenywe ngesizathu esifanayo.
Kubalulekile ukuthi wazi ukuthi uma ukuqwasha kungathuthuki kungakapheli izinsuku eziyisikhombisa kuya kweziyi-10 zokuthatha imishanguzo, iziguli kufanele zihlolwe ukuthi zinokuphazamiseka kwengqondo okungaba nomthelela yini ezinkingeni zokulala uma zingelashwa.
I-Restoril ne-Ambien kufanele igwenywe uma isiguli siphuze utshwala emahoreni ambalwa embhedeni, noma senza njalo njalo. Inhlanganisela iholela ekukhubazekeni kwengqondo okungahlala osukwini olulandelayo, futhi kungaphazamisa izikhathi zokushayela nezengqondo.
Ngaphambi kokuthatha i-Ambien noma i-Restoril, sicela wazise udokotela wakho nganoma iziphi izimo zezokwelapha noma eminye imishanguzo oyiphuzayo, kufaka phakathi imishanguzo yokuthenga kanye neminye imithi yokulala.
Ungayeki ngokungazelelwe ukuthatha iRestoril noma i-Ambien ngaphandle kokubonisana nomhlinzeki wakho wezokunakekelwa kwempilo. Ungase ube nezimpawu zokuhoxa njengokuyaluza, ukukhathazeka nokudangala.
Imibuzo ebuzwa njalo mayelana neRestoril vs. Ambien
Yini iRestoril?
I-Restoril ngumuthi kadokotela osetshenziswa ekwelapheni ukuqwasha kwesikhashana. Ihlukaniswa njenge-benzodiazepine futhi ibhekwa njengeyinto elawulwayo yi-DEA ngenxa yekhono layo lokuhlukumeza. Itholakala njenge-capsule yomlomo emandleni we-7.5 mg, 15 mg, 22.5 mg, no-30 mg.
Yini i-Ambien?
I-Ambien ngumuthi kadokotela osetshenziselwa ukwelapha ukuqwasha. Kungumuthi wokuthambisa ongelona i-benzodiazepine kepha usabhekwa njengento elawulwayo yi-DEA ngenxa yokuthi ingakwazi ukuhlukumeza. Itholakala kwifomu yethebhulethi ekhishwa ngokushesha kumandla we-5 mg naku-10 mg. Iphinde itholakale kwifomu yethebhulethi ekhishwe isikhathi eside (Ambien CR) ngamandla ka-6.25 mg no-12.5 mg.
Ngabe i-Restoril ne-Ambien ziyefana?
Ngenkathi bobabili uRestoril no-Ambien belapha ukuqwasha, abafani. I-Restoril iyi-benzodiazepine nayo enemiphumela ekuphumuzeni kwemisipha, ukudlikizela, nokukhathazeka. I-Ambien akuyona i-benzodiazepine futhi inenhloso ethile yokwamukela futhi ivikela le miphumela ngenkathi iqonde ukuqwasha.
Ngabe i-Ambien noma i-Restoril ingcono?
Ngenkathi bobabili iRestoril ne-Ambien bekwazi ukuthuthukisa ukusebenza kahle kokulala, i-Ambien ikhonjiswe ukuthi ingcono kakhulu ekwehliseni inani lokuvuka ngemuva kokulala. Ngokunikezwe lokhu, nemisebenzi ecacisiwe yokulala, i-Ambien ingakhethwa kune-Restoril.
Ngingayisebenzisa iRestoril noma i-Ambien ngenkathi ngikhulelwe?
I-Restoril ihlukaniswe yi-Food and Drug Administration (FDA) njengesigaba sokukhulelwa X. Kuyaphikiswa ekukhulelweni futhi akufanele kusetshenziswe. I-Ambien yisigaba C sokukhulelwa esikhombisa ukuthi azikho izifundo ezilawulwa kahle ukufakazela ukuphepha nokusebenza ngempumelelo. I-Ambien kufanele isetshenziswe kuphela lapho izinzuzo zidlula ngokusobala izingozi.
Ngingayisebenzisa iRestoril noma i-Ambien ngotshwala?
Iziguli kufanele zikugweme ukuthatha iRestoril noma i-Ambien uma ziphuze utshwala emahoreni aholela ekulaleni. Ukukhubazeka okuphawulekayo kwe-psychomotor kungavela ekusetshenzisweni okuhambisanayo.
Iyiphi iphilisi lokulala elisebenza kangcono kune-Ambien?
Ukunikezwa kweLunesta (eszopiclone) inzuzo ethile kune-Ambien ngoba kubhekwa njengokuvikelekile ukusetshenziswa isikhathi eside, kanti i-Ambien yenzelwe ukusetshenziswa kwesikhashana. ILunesta ikhonjiswe ukuthi isebenza kahle kakhulu ekunakekelweni kokulala.
Ingabe i-Restoril iyasiza ngokukhathazeka?
I-Restoril iyi-benzodiazepine futhi inemiphumela ye-anxiolytic, eyenza kube yimithi elwa nokukhathazeka esebenzayo.
Isebenza kanjani ngokushesha iRestoril?
I-Temazepam isebenza kungakapheli imizuzu eyi-15 kuye kwengama-30 iyithathile futhi kufanele ithathwe imizuzu eyi-15 kuye kwengama-30 ngaphambi kwesikhathi osifunayo sokulala.
