I-Revatio vs. Viagra: 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
Kungaba lula ukudida isithako esisebenzayo esitholakala kuRevatio naseViagra. Yize kuthengiswa ngakunye ukwelapha isimo esihlukile, zombili ziqukethe isithako sokuqala esiyinhloko — i-sildenafil. Zombili lezi zidakamizwa zikhiqizwa ngumenzi ofanayo, uPfizer.
I-Revatio ne-Viagra bayingxenye yomndeni wezidakamizwa ezibizwa nge-phosphodiesterase-5 (PDE-5) inhibitors. Eminye imithi kulesi sigaba ifaka phakathi I-Cialis (tadalafil) kanye ne- I-Levitra (vardenafil). Basebenza ngokwandisa into ebizwa nge-cGMP egazini. Lokhu kubangela ukuthi imithambo yegazi ivuleke okuholela emiphumeleni ehlukile ngokuya ngomthamo womuthi.
Ngokutholakala kwe i-generic sildenafil , kubalulekile ukwazi umehluko phakathi kwamagama ayo womkhiqizo amabili. Ngenkathi i-Revatio ne-Viagra babelana ngesithako esifanayo, bakalwa ngokungafani futhi basetshenziselwa izimo ezahlukahlukene.
Uyini umehluko omkhulu phakathi kweRevatio neViagra?
Umehluko omkhulu phakathi kweRevatio neViagra yindlela ezisetshenziswa ngayo. I-Revatio isetshenziselwa i- umfutho wegazi ophakeme wamaphaphu (PAH) ngenkathi i-Viagra isetshenziselwa ukwelapha ukungasebenzi kahle kwe-erectile (ED).
I-Revatio iza ngezindlela ezahlukahlukene zokulinganisa ezifana namathebulethi, imijovo, neziphuzo zomlomo. Uma kuqhathaniswa ne-Viagra, i-Revatio ilawulwa kathathu ngosuku ngomthamo ophansi.
I-Viagra ithathwa kumthamo ophakeme hhayi ngaphezu kwesisodwa ngosuku. Imvamisa ithathwa phakathi kwemizuzu engama-30 namahora amane ngaphambi kocansi.
| Umehluko omkhulu phakathi kweRevatio neViagra | ||
|---|---|---|
| Ukuvuselelwa | I-Viagra | |
| Isigaba sezidakamizwa | i-phosphodiesterase-5 (PDE5) inhibitor | i-phosphodiesterase-5 (PDE5) inhibitor |
| Isimo somkhiqizo / ejwayelekile | Uhlobo lomkhiqizo nohlobo olujwayelekile luyatholakala | Uhlobo lomkhiqizo nohlobo olujwayelekile luyatholakala |
| Ngubani igama elijwayelekile? | I-Sildenafil citrate | I-Sildenafil citrate |
| Izidakamizwa zingena ngaziphi izinhlobo? | Ithebhulethi yomlomo Ukujova Ukumiswa ngomlomo | Ithebhulethi yomlomo |
| Yini indinganiso isilinganiso? | 20 mg kathathu nsuku zonke | 50 mg 1 ihora ngaphambi kocansi njengoba kudingeka |
| Yelashwa isikhathi esingakanani? | Isikhathi esifushane noma isikhathi eside njengokuyalelwa ngudokotela | Isikhathi esifushane noma isikhathi eside njengokuyalelwa ngudokotela |
| Ubani ovame ukusebenzisa umuthi? | Abantu abadala abaneminyaka engu-18 nangaphezulu | Abantu abadala abaneminyaka engu-18 nangaphezulu |
Umthombo: Ukuvuselelwa futhi I-Viagra
Izimo eziphathwe yiRevatio vs. Viagra
I-Revatio ithengiselwa ukwelashwa komfutho wegazi ophakeme wamaphaphu. Kungasiza ukuthuthukisa ikhono lokuzivocavoca nokubambezela ukwanda kwesifo. I-Viagra ithengiswa ukwelashwa ukungasebenzi kahle kwe-erectile . Kungasiza amadoda ukuthola nokugcina ukwakheka kocansi. Zombili lezi zidakamizwa ziqukethe i-sildenafil, evunyelwe yi-FDA ukwelapha i-PAH noma i-ED ngokuya ngomthamo.
Umfutho wegazi ophakeme we-pulmonary arterial isifo esingajwayelekile, esiqhubekayo esithinta amaphaphu. Kubonakala ngomfutho wegazi ophakeme emaphashini futhi kubangele izimpawu ezifana nokuphefumula kanye nesiyezi. Abantu abaphakathi kuka-10 no-15 ngesigidi ngasinye bangu- kutholakale ukuthi unesifo unyaka ngamunye.
I-Viagra, eyaziwa kakhulu njengephilisi elincane eliluhlaza okwesibhakabhaka, ingaziwa kakhulu kune-Revatio ngoba amadoda amaningi angathinteka ukungasebenzi kahle kwe-erectile (ED) uma kuqhathaniswa nalabo abane-PAH. I-ED ilinganiselwa ukuthi iyothinta 18 million abesilisa e-U.S., okwenza i-Viagra ibe yisidakamizwa esidumile ngalesi sizathu.
Ukusetshenziswa okungekho kwelebula kwe-sildenafil kufaka phakathi ukwelashwa kwe-edema ephezulu ye-pulmonary edema. I-edema ye-pulmonary edema ephakeme kakhulu yenzeka lapho uketshezi lukhula emaphashini ezindaweni ezithile eziphakeme. Kulabo abahlangabezana nesimo sikaRaynaud, i-sildenafil ingacatshangelwa ukwelashwa. Isimo sikaRaynaud sibonakaliswa ukushintsha kombala kanye nokulahleka kokuzwa kweminwe nezinzwane emazingeni athile okushisa. I-Sildenafil inconywa kuphela njengenketho lapho ezinye izindlela zokwelapha zingatholakali noma sekuzanyiwe.
ISildenafil nayo ikhonjisiwe ukuthi isiza ukwelapha abesifazane abanolwazi ukuphazamiseka kokuya ocansini kwabesifazane (FSAD) . Lesi sifo sivamile kubantu besifazane baseMelika abangafika kuma-26%.
| Isimo | Ukuvuselelwa | I-Viagra |
| Umfutho wegazi ophezulu wegazi | Yebo | Yebo (i-generic sildenafil) |
| Ukungasebenzi kahle kwe-Erectile | Yebo (i-generic sildenafil) | Yebo |
| Ukuphakama okuphezulu kwe-edema yamaphaphu | Ngaphandle kwelebula | Ngaphandle kwelebula |
| Isimo sikaRaynaud | Ngaphandle kwelebula | Ngaphandle kwelebula |
| Isifo sowesifazane sokuvusa inkanuko | Ngaphandle kwelebula | Ngaphandle kwelebula |
Ngabe i-Revatio noma i-Viagra isebenza kangcono?
Kokubili iRevatio neViagra ziqukethe isithako esisebenzayo esifanayo — i-sildenafil. Njengoba amagama emikhiqizo emakethwa ngezinhloso ezahlukahlukene, ayasebenza ngendlela yawo. Sekukonke, i-sildenafil iboniswe yizilingo zomtholampilo ukuthi iphephe futhi isebenze.
Ekubuyekezweni okuhlelekile, ukwelashwa nge-sildenafil ye- Amaviki ayi-12 noma ngaphezulu izimpawu ezithuthukisiwe zomtholampilo wegazi ophezulu wamaphaphu. ISildenafil nayo yatholakala isiza ukubambezela ukuqhubeka kwesifo kubantu abadala.
Ngokusho okufanayo ukubuyekeza yamadoda anokungasebenzi kahle kwe-erectile, i-sildenafil itholwe ukuthi iyasebenza futhi ibekezelela kahle. Uma kuqhathaniswa ne-placebo, noma kungekho nhlobo ukwelashwa, i-sildenafil isize ukuthuthukisa ukungasebenzi kahle kwe-erectile ngemiphumela emibi ejwayelekile. I-Sildenafil ingaba wusizo ikakhulukazi kwabesilisa abanesifo se-Peyronie, isifo sezicubu se-penile lapho izicubu ezibomvu zingenza ukuthi ipipi ligobeke ngendlela engajwayelekile.
Ngokuya ngesimo sakho, i-Revatio noma i-Viagra ingahle inqunyelwe. Khuluma nomhlinzeki wakho wezokunakekelwa kwempilo ukuthola ukuthi imuphi ukwelashwa ongakusebenzela kangcono. Njengoba zombili ziqukethe isithako esifanayo, ungahle unikezwe i-generic sildenafil ezimweni eziningi.
Ukuqhathaniswa kanye nezindleko zokuqhathaniswa kweRevatio vs.Viagra
Njengomuthi wegama lomkhiqizo, iRevatio ngokuvamile ayihlanganiswa yimishwalense eminingi nezinhlelo zeMedicare. I-generic sildenafil, noma kunjalo, ivame ukumbozwa ngamasu omshuwalense. Intengo emaphakathi yokuthengisa ingaba ngaphezu kwe- $ 200. Ikhadi lekhuphoni le-SingleCare lingasetshenziswa ukwehlisa lezi zindleko ziye ku- $ 13.95 ngokuya ngekhemisi oya kulo.
I-Viagra ivame ukunikezwa ngamanani amancane wamaphilisi amabili kuya kwayi-10 ngesikhathi esisodwa njengoba ithathwa njengoba kudingeka. Iningi le-Medicare nezinhlelo zomshuwalense azimbozi igama lomkhiqizo i-Viagra. Ezinye izinkampani zomshuwalense zizodinga ukugunyazwa kwangaphambili kwezidakamizwa ezinamagama ukuze zikwazi ukumboza umuthi. Izindleko ezijwayelekile zokuthengisa ze-Viagra zingaba kusuka ku- $ 130 kuye ku- $ 200. Ngekhadi lesaphulelo le-SingleCare, lezi zindleko zingancishiswa zibe ngaphansi kuka- $ 50 ngamaphilisi amabili ejwayelekile angama-50 mg.
| Ukuvuselelwa | I-Viagra | |
| Ngokuvamile embozwe umshwalense? | Akunjalo | Akunjalo |
| Imbozwe ngokujwayelekile yi-Medicare? | Akunjalo | Akunjalo |
| Umthamo ojwayelekile | 20 mg (inani lamaphilisi angama-30) | 50 mg (ubuningi bamaphilisi ama-2) |
| I-Medicare copay ejwayelekile | $ 3- $ 770 | $ 22 |
| Izindleko ze-SingleCare | $ 13.95 + | $ 50 + |
Imiphumela emibi ejwayelekile yeRevatio vs Viagra
Okuvame kakhulu okuqhamuka uma udla imishanguzo ehlotshaniswa ne-sildenafil, isithako esisebenzayo ku-Revatio nase-Viagra, ikhanda, i-indigestion (i-dyspepsia), ne-flushing (imfudumalo nokubomvu kobuso noma komzimba).
Ngokuya ngezivivinyo zomtholampilo, labo abathatha i-Revatio bangabhekana neminye imiphumela emibi efana nokuqwasha, ukuphefumula kancane, isifo sohudo, ukuminyana kwamakhala, nobuhlungu bemisipha (myalgia). Ngokuya ngezivivinyo nge-Viagra, eminye imiphumela emibi ejwayelekile ingafaka ukuminyana kwamakhala, ubuhlungu beqolo, ubuhlungu bemisipha, isicanucanu, isiyezi nokuqubuka.
Imiphumela emibi kakhulu ye-sildenafil ingafaka ukungaboni kahle noma ukulahleka kokuzwa.
| Ukuvuselelwa | I-Viagra | |||
| Imiphumela emibi | Kusebenza? | Imvamisa | Kusebenza? | Imvamisa |
| Ubuhlungu bekhanda | Yebo | 46% | Yebo | amashumi amabili nanye% |
| Ukugaya ukudla | Yebo | 13% | Yebo | 9% |
| Ukuqhuma | Yebo | 10% | Yebo | 19% |
| Isiyezi | Yebo | * akubikiwe | Yebo | 4% |
| Isicanucanu | Yebo | * | Yebo | 3% |
| Ukuminyana emakhaleni | Yebo | 4% | Yebo | 4% |
| Umbono ongajwayelekile | Yebo | * | Yebo | amaphesenti amabili |
| Ukuhlungu obusemhlane | Akunjalo | - | Yebo | 4% |
| Ubuhlungu bemisipha | Yebo | 7% | Yebo | amaphesenti amabili |
| Ukuphelelwa umoya | Yebo | 7% | Yebo | <2% |
| Ukuqwasha | Yebo | 7% | Yebo | <2% |
| Uhudo | Yebo | 9% | Akunjalo | - |
| I-Rash | Akunjalo | - | Yebo | amaphesenti amabili |
Lokhu kungenzeka kungabi uhlu oluphelele. Xhumana nodokotela wakho noma usokhemisi ngemiphumela engemihle engaba khona.
Umthombo: DailyMed ( Ukuvuselelwa ), IDailyMed ( I-Viagra )
Ukusebenzisana kwezidakamizwa kweRevatio neViagra
I-Sildenafil icutshungulwa kakhulu yisibindi. Ngakho-ke, zombili iRevatio neViagra zihlangana nezidakamizwa eziningi ezifanayo. Njengoba iRevatio neViagra zicutshungulwa yi Ama-enzyme e-CYP3A4 , akufanele zisetshenziswe nezinye izidakamizwa ezithinta ukuthi lezi zinhlayiyana zisebenza kanjani.
Ama-CYP3A4 inhibitors afana ne-ritonavir ne-ketoconazole angakhuphula izinga le-sildenafil egazini futhi abangele nemiphumela engemihle.
I-Revatio ne-Viagra akufanele zithathwe nezinye izidakamizwa ezibizwa nge-nitrate, alpha blockers, kanye neminye imishanguzo yegazi (antihypertensives). Ukuthatha le mithi ndawonye kungakhuphula ubungozi be-hypotension, noma umfutho wegazi ophansi okuyingozi.
I-Riociguat yisidakamizwa esingalapha umfutho wegazi ophakeme wamaphaphu. Ngenxa yemiphumela yayo ye-hypotensive, akunconywa ukuthi isetshenziswe lapho uthatha i-sildenafil.
| Izidakamizwa | Isigaba Sezidakamizwa | Ukuvuselelwa | I-Viagra |
| I-Ritonavir Ketoconazole I-Itraconazole I-Erythromycin | I-CYP3A4 inhibitors | Yebo | Yebo |
| Isosorbide dinitrate Isonorbide mononitrate I-Nitroglycerin I-Amyl nitrite | AmaNitrate | Yebo | Yebo |
| I-Terazosin I-Tamsulosin I-Doxazosin I-Alfuzosin | I-Alpha blockers | Yebo | Yebo |
| Amlodipine I-Lisinopril ILosartan Valsartan I-Hydrochlorothiazide | Ama-antihypertensives | Yebo | Yebo |
| I-Riociguat | Izikhuthazi zeGuanylate Cyclase (GC) | Yebo | Yebo |
Lokhu kungenzeka kungabi uhlu oluphelele lwako konke ukuhlangana kwezidakamizwa okungenzeka. Xhumana nodokotela ngayo yonke imithi okungenzeka uyayiphuza.
Izexwayiso zeRevatio neViagra
Ngoba iRevatio neViagra zingathinta umfutho wegazi, ukusetshenziswa kwazo kufanele kuxwayiswe kubantu abanengcindezi yegazi ephansi kakhulu noma emithini yokwelapha umfutho wegazi ophezulu. Labo abane Isifo senhliziyo noma othatha imishanguzo yobuhlungu besifuba kungadinga ukuthatha izinyathelo ezithile zokuqapha. Ukuthatha i-sildenafil kungakhuphula ubungozi besifo senhliziyo esiya siba sibi, ubuhlungu besifuba, noma isifo senhliziyo ezimweni ezinzima.
Yize kungavamile, abanye abasebenzisi beRevatio noma iViagra babhekane nesimo esibizwa nge-anterior ischemic optic neuropathy (AION). Lesi simo sibonakala ngokuncipha noma ukulahleka kombono kungazelelwe. Omunye umphumela omubi ohlobene nalokhu ukwehla noma ukulahleka kokuzwa okungazelelwe. Le miphumela emibi ibuye yabonwa neminye Ama-PDE-5 inhibitors .
Ukubheka phambili ukwakhiwa okuphikelelayo nobuhlungu okuhlala isikhathi eside kunamahora ama-4. Kungumthelela ongejwayelekile, omubi ohambisana ne-sildenafil. Uma uhlangabezana nalo mphumela omubi, funa usizo lwezokwelapha ngokushesha. Ukushiya ukuxilongwa kungalashwa kungaholela ekulimaleni kwezicubu zepenile.
Khuluma no udokotela uma unemibandela ecashile ngaphambi kokuthatha i-Revatio noma i-Viagra.
Imibuzo ebuzwa njalo nge Revatio vs. Viagra
Yini iRevatio?
I-Revatio (sildenafil) ngumuthi kadokotela osetshenziselwa ukwelapha i-pulmonary arterial hypertension (PAH) kubantu abadala abaneminyaka engu-18 nangaphezulu. Isebenza ngokukhulisa imithambo yegazi nokwandisa ukugeleza kwegazi ezindaweni ezithile zomzimba. Imvamisa ithathwa njengethebhulethi ye-20 mg kathathu ngosuku ukusiza ukuthuthukisa amandla okuzivocavoca nokubambezela ukuqhubeka kwezifo.
Yini i-Viagra?
I-Viagra yigama lomkhiqizo le-sildenafil citrate. Isetshenziselwa ukwelapha ukungasebenzi kahle kwe-erectile (ED) emadodeni aneminyaka engu-18 nangaphezulu. Isebenza ngokuxegisa imisipha ebushelelezi emithanjeni yegazi ukukhuphula ukugeleza kwegazi kuya ethondweni. I-Viagra ingathathwa njengoba kudingeka ihora eli-1 ngaphambi kocansi.
Ngabe iRevatio neViagra ziyefana?
I-Revatio ne-Viagra ziqukethe isithako esifanayo esisebenzayo-i-sildenafil. Noma kunjalo, zombili ziqukethe amandla ahlukene e-sildenafil. I-Revatio ithathwa ngomthamo ophansi kathathu ngosuku kanti i-Viagra ithathwa ngemithamo ephezulu hhayi ngaphezu kwesisodwa ngosuku.
Ngabe iRevatio noma iViagra ingcono?
Yomibili le mithi iyasebenza ukwelapha izimo zayo ezibonisiwe. I-Revatio iyasebenza ekwelapheni umfutho wegazi ophakeme wamaphaphu ngenkathi i-Viagra isebenza kahle ekwelapheni ukungasebenzi kahle kwe-erectile. Zombili lezi zidakamizwa ziqukethe isithako esisebenzayo esifanayo ngemithamo ehlukene. Khuluma nodokotela wakho ukunquma ukuthi yiluphi uhlobo lwe-sildenafil olungcono kakhulu kuwe.
Ngingayisebenzisa yini iRevatio noma iViagra ngenkathi ngikhulelwe?
ISildenafil ikhonjisiwe ukuthi isiza ekwelapheni izimo ezithile kwabesifazane. Kodwa-ke, imininingwane ephathelene nokusetshenziswa kwe-sildenafil ngenkathi ukhulelwe inqunyelwe. Abanye izifundo khombisa ukuthi akubonakali kunengozi eyengeziwe yemiphumela emibi nge-sildenafil. Xhumana nodokotela ngezeluleko zezokwelapha uma ukhulelwe noma uncelisa.
Ngingayisebenzisa yini iRevatio noma iViagra ngotshwala?
Ukuphuza utshwala ngenkathi ku-Revatio noma ku-Viagra akunconywa ngokuvamile. Ukuthatha i-Revatio noma i-Viagra nokuphuza utshwala kungakhuphula ubungozi bemiphumela emibi efana nesiyezi, ukuqhuma, nokuphathwa yikhanda.
Ngabe iRevatio isebenza ngokungasebenzi kahle kwe-erectile?
I-Revatio ithengiswa ngokukhethekile ukwelapha umfutho wegazi ophakeme wamaphaphu. I-Revatio iyatholakala kumaphilisi wedosi aphansi uma kuqhathaniswa neViagra. Ngakho-ke, kungahle kungasebenzi njengeViagra, equkethe umthamo ophakeme we-sildenafil. Khuluma nodokotela wakho ngaphambi kokusebenzisa i-sildenafil ye-ED ngoba amanani athile asebenza kakhulu kunabanye.
Kuthatha isikhathi esingakanani ukuthi iRevatio isebenze?
Ukwehla okuphawuleka kakhulu kwengcindezi yegazi kulabo abane-PAH kungabonakala kungakapheli ihora elilodwa kuya kwamabili ngemuva kokuphathwa neRevatio. I-Sildenafil ne-metabolite yayo esebenzayo inezimpilo ezinengxenye yamahora angaba ngu-4. Ngalesi sizathu, iRevatio kufanele ithathwe njalo 4 kuya ku-6 amahora .
Ngabe iRevatio isebenza njengeViagra?
I-Revatio iqukethe isithako esisebenzayo esifanayo ne-Viagra. Yomibili le mithi iqukethe i-sildenafil engasiza ekwelapheni izimo ezahlukahlukene ngokuya ngomthamo onikeziwe. I-Revatio inikeza i-sildenafil kumthamo ophansi ukwelapha i-PAH ngenkathi amaphilisi eViagra aqukethe i-sildenafil ngemithamo ephezulu yokwelapha i-ED.











