I-Stendra 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
Uma uhlushwa i-erectile dysfunction (ED), awuwedwa. Amadoda alinganiselwa ezigidini eziyi-15 kuya kwezingama-30 e-United States isipiliyoni ED . I-Stendra (avanafil) ne-Viagra (sildenafil) yimithi emibili esetshenziswa ekwelapheni U-ED . Bangabakwaqembu lemithi kadokotela evunyelwe yi-FDA ebizwa nge-phosphodiesterase-5 inhibitors (PDE5 inhibitors). Eminye imithi kulesi sigaba se Imithi ye-ED faka i-Cialis (tadalafil) ne-Levitra (vardenafil).
Ama-PDE5 inhibitors asebenza ngokwandisa womabili amazinga nomsebenzi we-nitric oxide. Ngokwenza lokhu, kunokugeleza kwegazi okungcono okuya endondeni, kubangele ukwakhiwa. Imithi futhi iyasiza ekwandiseni ukuvuswa nokwandisa ukwaneliseka ngokocansi. Kubalulekile ukuthi uqaphele ukuthi ama-PDE5 inhibitors asebenza ngokubambisana nokukhuthaza ezocansi.
Uyini umehluko omkhulu phakathi kweStendra neViagra?
I-Stendra ne-Viagra womabili ama-PDE5 inhibitors asetshenziswa ekwelapheni ukungasebenzi kahle kwe-erectile.
I-Stendra okwamanje itholakala kuphela ngegama lomkhiqizo kuphela. Igama lamakhemikhali i-avanafil, kepha umuthi awukatholakali njenge-avanafil, kuphela njengegama lomkhiqizo elithi Stendra.
I-Stendra kufanele ithathwe njenge-100 mg noma i-200 mg dose, ngaphambi kwemizuzu engu-15 ngaphambi kocansi. Ingabuye idosiwe ku-50 mg cishe imizuzu engama-30 ngaphambi kocansi.
I-Viagra kufanele ithathwe cishe ihora elilodwa ngaphambi kocansi. Noma ngabe uthatha iStendra noma iViagra, kufanele kuthathwe umthamo owodwa kuphela ngosuku olulodwa.
Ngaphandle kwesidakamizwa noma umthamo, umuthi kufanele uhambisane nokuvuselelwa kocansi ukuze usebenze. Kungaba umuthi ongaphuzwa nokudla noma ngaphandle kokudla.
| Umehluko omkhulu phakathi kweStendra neViagra | ||
|---|---|---|
| Stendra | I-Viagra | |
| Isigaba sezidakamizwa | PDE5 inhibitor | PDE5 inhibitor |
| Isimo somkhiqizo / ejwayelekile | Umkhiqizo | Umkhiqizo nokujwayelekile |
| Ngubani igama elijwayelekile? | I-Avanafil (kepha ayikatholakali ngokujwayelekile) | Sildenafil |
| Ungena ngaluphi uhlobo umuthi? | Ithebhulethi (50 mg, 100 mg, 200 mg) | Ithebhulethi (25 mg, 50 mg, 100 mg) |
| Uyini umthamo ojwayelekile? | Isibonelo: ithebhulethi eyodwa ye-100 mg imizuzu eyi-15 ngaphambi kocansi NOMA ithebhulethi eyodwa engama-50 mg cishe imizuzu engama-30 ngaphambi kocansi * kungathathwa okungaphezu kwesisodwa ngosuku | Isibonelo: ithebhulethi eyodwa engama-50 mg ihora elilodwa ngaphambi kokwenza ucansi kepha ingahle isukele noma yikuphi ukusuka ku-25 mg kuye ku-100 mg kuthathwe imizuzu engama-30 kuya emahoreni ama-4 ngaphambi kocansi * kungathathwa okungaphezu kwesisodwa ngosuku |
| Yelashwa isikhathi esingakanani? | Njengoba kudingeka | Njengoba kudingeka |
| Ubani ovame ukusebenzisa umuthi? | Abesilisa abadala | Abesilisa abadala |
Ufuna intengo engcono kakhulu ku-Viagra?
Bhalisela izexwayiso zentengo ye-Viagra bese uthola ukuthi intengo ishintsha nini!
Thola izexwayiso zentengo
Izimo eziphathwe yiStendra neViagra
Kokubili i-Stendra ne-Viagra (Yini i-Viagra?) Inesibonakaliso esisodwa kuphela esisemthethweni-ukwelashwa kwe- I-ED emadodeni . Kodwa-ke, zombili lezi zidakamizwa zingasetshenziswa ngaphandle kwelebula ngokwenzeka kukaRaynaud. I-Viagra kwesinye isikhathi isetshenziswa ngaphandle kwelebuli ukwelapha ukuphazamiseka kokuvuswa kwabesifazane ngokocansi.
| Isimo | Stendra | I-Viagra |
| Ukungasebenzi kahle kwe-Erectile | Yebo | Yebo |
| Isimo sikaRaynaud | Ngaphandle kwelebula | Ngaphandle kwelebula |
| Isifo sowesifazane sokuvusa inkanuko | Akunjalo | Ngaphandle kwelebula |
| Ukwelashwa komfutho wegazi ophakeme wamaphaphu (i-WHO Group I) kubantu abadala ukuthuthukisa ikhono lokuzivocavoca umzimba nokubambezela ukwanda komtholampilo | Akunjalo | Yebo, kepha hhayi njenge-Viagra. Kuphela lapho kunqunywe njenge-Revatio (noma i-generic sildenafil), ngemithamo ka-20 mg kathathu nsuku zonke |
Ngabe iStendra noma iViagra iphumelela kakhulu?
TO ukubuyekeza yezifundo zokwelashwa kuphethe ngokuthi iStendra ibifaniswa nokusebenza ngeViagra, kanye namanye ama-PDE5 inhibitors. Ucwaningo luphawule nokuthi iStendra iyathandeka ngokwengeziwe ngemiphumela emibi kanye nokuhlangana kwezidakamizwa, futhi ayinamphumela omncane ekwehliseni umfutho wegazi.
Enye ukubuyekeza yezifundo zaphetha ngokuthi iStendra iphephile futhi iyasebenza, kepha kwaqagelwa ukungaqiniseki ngendawo kaStendra emakethe. Lokhu kungenxa yokuthi wonke ama-PDE5 inhibitors ayafana, futhi ngaphandle kweStendra, onke ayatholakala ejwayelekile, enikeza inzuzo enkulu yokonga imali esigulini. Ababhali babikezela ukuthi, i-ejenti entsha ngaphandle komlando omude kangaka ingaba nobunzima ekutholeni isabelo semakethe.
Umuthi osebenza kahle kakhulu kuwe kufanele unqunywe udokotela wakho kuphela, ongabuka izimo zakho zezokwelapha, umlando, neminye imithi oyiphuzayo.
Ukuqhathaniswa kanye nezindleko zokuqhathaniswa kweStendra vs.Viagra
Kunokwehluka okubanzi maqondana nokutholakala komshuwalense weStendra noma iViagra. Ezinye izinkampani zomshuwalense ziyazikhokhela, kanti ezinye azikhokhi. Eminye imishwalense inomkhawulo ebuningini ongabugcwalisa, isibonelo, umshwalense wakho ungavumela amaphilisi amane ngenyanga kumuthi we-ED.
Umuthi ojwayelekile wamaphilisi ayi- # 10 we-Stendra 100 mg (atholakala ngegama lomkhiqizo kuphela) uzobiza cishe u- $ 680 ngekhadi lesaphulelo le-SingleCare.
Umuthi ojwayelekile wamathebulethi angu- # 10 we-sildenafil 50 mg (generic Viagra) amaphilisi angaba kusuka ku- $ 150- $ 300 kuye ngokuthi iyiphi ikhemisi oyisebenzisayo.
| Stendra | I-Viagra | |
| Ngokuvamile embozwe umshwalense? | Ukuhlanganiswa kuyahlukahluka | Ukuhlanganiswa kuyahlukahluka |
| Imbozwe ngokujwayelekile yi-Medicare Part D? | Akunjalo | Akunjalo |
| Umthamo ojwayelekile | Amaphilisi angu- #, 100 mg | Amaphilisi angu- # 10, 50 mg |
| I-Medicare copay ejwayelekile | Kuyahluka (iziguli zivame ukukhokha ephaketheni) | Kuyahluka (iziguli zivame ukukhokha ephaketheni) |
| Izindleko ze-SingleCare | $ 680 | $ 150 + |
Thola ikhadi lesaphulelo sakwaSingleCare
Imiphumela emibi ejwayelekile yeStendra vs Viagra
I-Stendra ne-Viagra zinemiphumela emibi efanayo, noma kunjalo, kubalulekile ukuthi uqaphele ukuthi imvamisa iyahluka ngomthamo. Isibonelo, i-16% yeziguli ezithatha iViagra 25 mg zathola ikhanda, kepha ngomthamo ka-100 mg, iziguli ezingama-28% zathola ikhanda.
Nge-Stendra, imiphumela emibi kakhulu yikhanda, ukuqhuma, ukuminyana kwamakhala, nobuhlungu beqolo. Imiphumela emibi kakhulu ye-Viagra ikhanda elibuhlungu, ukuqhuma, ukuxinana kwamakhala, kanye nokugaya ukudla.
Lolu akulona uhlu oluphelele lwemiphumela emibi. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ukuthola uhlu olugcwele.
| Stendra | I-Viagra | |||
| Imiphumela emibi | Kusebenza? | Imvamisa | Kusebenza? | Imvamisa |
| Ubuhlungu bekhanda | Yebo | 5.1-10.5% | Yebo | 16-28% |
| Ukuqhuma | Yebo | 3.2-4.3% | Yebo | 10-19% |
| Ukuminyana emakhaleni | Yebo | 1.8-2.9% | Yebo | 4-9% |
| Ukuhlungu obusemhlane | Yebo | 1.1-3.2% | Yebo | 3-4% |
| Ukugaya ukudla | Yebo | 1-2% | Yebo | 3-17% |
| Isiyezi | Yebo | 1-2% | Yebo | 3-4% |
| Isicanucanu | Yebo | 1-2% | Yebo | 2-3% |
Umthombo: DailyMed ( Stendra ), IDailyMed ( I-Viagra )
Ukusebenzisana kwezidakamizwa zeStendra neViagra
Iziguli ezithatha iStendra noma iViagra akufanele neze zithathe imishanguzo ye-nitrate, efana ne-nitroglycerin. I- inhlanganisela kuyaphikiswa (akufanele kusetshenziswe ndawonye) ngoba kungahle kube nomfutho wegazi ophansi okuyingozi.
Kunemithi eminingi, uma ihlanganiswe neStendra noma iViagra, engadala ukuthi umfutho wegazi wehle. Lokhu kufaka phakathi i-alpha blockers (njenge-alfuzosin, terazosin, noma i-tamsulosin), i-riociguat (umuthi osetshenziselwa ukwelapha umfutho wegazi ophakeme wamaphaphu), nemithi yomfutho wegazi. Le mithi kufanele isetshenziswe kuphela ne-Stendra noma i-Viagra ngokuqapha, nangokuqapha okufanelekile ngumhlinzeki wakho wezokunakekelwa kwempilo.
Izidakamizwa zihlanganiswa ngosizo lwama-enzyme, futhi ejwayelekile uhlelo lwe-cytochrome P450 3A4 (CYP3A4). Umuthi ovimbela i-CYP3A4 ungadala ukuthi omunye umuthi wakhe ohlelweni, ngokuvimbela, noma ngokwehlisa ijubane, ukuthi omunye umuthi ucutshungulwa kanjani. Isibonelo, uma umuthi A uvimbela umuthi B, uzothola inqwaba yezidakamizwa B emzimbeni wakho, ezingaholela ekukhuleni kwemiphumela emibi. Izidakamizwa zingaba ama-inhibitors anamandla noma ama-inhibitors alinganiselayo.
Iziguli ezithatha i-3A4 inhibitor eqinile akufanele zithathe iStendra, kanti iziguli ezithatha i-inhibitor elinganiselayo akufanele zithathe ngaphezu kwe-50 mg, futhi kuphela uma zivunywa ngudokotela. I-Viagra kufanele iqalwe kumthamo ophansi kakhulu we-25 mg lapho unikezwa nge-3A4 inhibitor enamandla. Uma ithathwe nge-protease inhibitor ritonavir, i-Viagra kufanele ithathwe njenge-25 mg okungenani amahora angama-48 ukuhlukana.
Okunye ukuxhumana kwezidakamizwa kungenzeka; thintana nodokotela wakho wezempilo ukuthola uhlu olugcwele lokusebenzisana kwezidakamizwa.
| Izidakamizwa | Isigaba Sezidakamizwa | Stendra | I-Viagra |
| I-Nitroglycerin | AmaNitrate | Yebo | Yebo |
| I-Riociguat | Isikhuthazi seGuanylate cyclase | Yebo | Yebo |
| I-Alfuzosin I-Tamsulosin I-Terazosin | I-Alpha blockers | Yebo | Yebo |
| I-Lisinopril Amlodipine I-Bystolic I-Metoprolol ILosartan URamipril njll. | Ama-antihypertensives | Yebo | Yebo |
| Ketoconazole Itraconazole, Clarithromycin I-Ritonavir I-Saquinavir UNelfinavir I-Indinavir Atazanavir | I-CYP 3A4 inhibitors enamandla | Yebo | Yebo |
| I-Erythromycin I-Aprepitant Diltiazem I-Fluconazole I-Fosamprenavir I-Verapamil | I-CYP 3A4 inhibitors elinganiselwe | Yebo | Yebo |
Izexwayiso zeStendra neViagra
- Impilo yenhliziyo kufanele ihlolwe ngaphambi kokuthatha iStendra noma iViagra. Iziguli ezithile kungenzeka zingabi yilunga leStendra noma iViagra. Buza udokotela wakho ngaphambi kokuthatha iStendra noma iViagra, uma unezinkinga ngenhliziyo yakho noma umfutho wegazi.
- Njengamanje, kunconywa ukuthi iStendra noma iViagra ayisetshenziswa ezigulini ezinemicimbi yenhliziyo yakamuva, njengokuhlaselwa yisifo senhliziyo noma isifo sohlangothi, iziguli ezinokuphumula komfutho wegazi ophansi (ngaphansi kuka-90/50 mmHg) noma umfutho wegazi ophakeme (ngaphezu kuka-170 100 mmHg), kanye neziguli ezine-angina engazinzile. Xhumana nodokotela wakho uma unenkinga yenhliziyo noma yegazi.
- I-Stendra noma i-Viagra akufanele isetshenziswe ezigulini ezithatha ama-nitrate afana ne-nitroglycerin, noma i-guanylate cyclase stimulator efana ne-riociguat, ngenxa yemiphumela eyengeziwe ekwehliseni umfutho wegazi. Eminye imithi ehlangene ne-Stendra noma i-Viagra nayo ingathinta ukucindezelwa kwegazi (bheka ishadi lokusebenzisana kwezidakamizwa).
- Sebenzisa iStendra noma iViagra ngokuqapha ezigulini ezinokukhubazeka okwenziwe ngepenisi.
- Kwesinye isikhathi, ukwakhiwa isikhathi eside (ngaphezu kwamahora we-4), noma i-priapism (ukwakhiwa okubuhlungu okuhlala isikhathi eside kunamahora we-6) kungenzeka. Uma ukwakhiwa kuthatha isikhathi esingaphezu kwamahora ama-4, funa usizo lwezokwelapha ngokushesha. Ukwehluleka ukwelapha lesi simo ngokushesha kungaholela ekulimaleni unomphela.
- Uma uhlangabezana nokulahleka kombono ngokungazelelwe noma ukulahleka kokuzwa okungazelelwe (okungahambisana nesiyezi noma ukukhala ezindlebeni), yeka iStendra noma iViagra bese ufuna usizo lwezokwelapha ngokushesha.
- Gwema kakhulu utshwala obuningi ngeStendra noma iViagra, ngoba inhlanganisela ingaholela ekukhuleni kwenhliziyo, umfutho wegazi ophansi, isiyezi kanye nekhanda.
- I-Stendra noma i-Viagra ayizivikeli ezifweni zocansi, ngakho-ke kufanele kusetshenziswe ezinye izindlela zokuzivikela, njengamakhondomu.
- Ngoba iStendra neViagra azikhonjisiwe kwabesifazane, ayikho idatha yomtholampilo mayelana nokuphepha kwale mithi lapho ukhulelwe. Ngakho-ke, akunconywa ukusebenzisa iStendra noma iViagra ekukhulelweni.
Imibuzo ebuzwa njalo mayelana neStendra vs. Viagra
Yini uStendra?
IStendra (avanafil) iyi-PDE5 inhibitor elapha ukungasebenzi kahle kwe-erectile emadodeni. Ngokuhambisana nokukhuthaza ezocansi, kusiza ukukhuphula ukugeleza kwegazi kuya endondeni, kusize isiguli ukuthi sifinyelele futhi sigcine ukwakhiwa. Njengamanje, itholakala kuphela ngegama lomkhiqizo; akukho generic etholakalayo okwamanje.
Yini i-Viagra?
IViagra (sildenafil) iyi-PDE5 inhibitor esetshenziselwa ukwelapha ukungasebenzi kahle kwe-erectile emadodeni. Kwandisa ukugeleza kwegazi kuya endondeni (ngokuhlangana nokukhuthaza kocansi) ukuze ukwazi ukufeza nokugcina ukwakhiwa. I-Viagra iyatholakala ngohlobo lomkhiqizo nangokwejwayelekile.
Kungenzeka ukuthi uzwile ngomuthi obizwa ngokuthi Ukuvuselelwa isetshenziselwe i-ED, esikhundleni se-Viagra. I-Revatio ngesinye isidakamizwa esiqukethe i-sildenafil, isithako esifanayo ku-Viagra. I-Revatio isetshenziselwa ukwelapha umfutho wegazi ophakeme wamaphaphu (PAH). Yize i-Revatio ikhonjiswa nge-PAH kuphela, ivame ukubekwa off-ilebula ye-ED. Kwesinye isikhathi, lapho inkampani yomshuwalense ingayikhokhi iViagra, udokotela angahle anikeze iRevatio esikhundleni sayo, evame ukumbozwa umshwalense.
Ngabe iStendra neViagra ziyefana?
Hhayi kahle. Ziyafana kakhulu futhi zisesigabeni esifanayo semithi-PDE5 inhibitors. Kodwa-ke, banokunye umehluko, okuchazwe ngenhla.
Ngabe iStendra noma iViagra ingcono? / Ngabe iStendra isebenza kangcono kuneViagra?
Uma ubheka izivivinyo, zombili lezi zidakamizwa ziyafana ngokusebenza, futhi zombili lezi zidakamizwa zibekezeleleke kahle. Ucwaningo olulodwa uqaphele ukuthi iStendra ingaba nobunzima bokuthola indawo emakethe ngenxa yokutholakala kwayo njengegama lomkhiqizo kuphela, ngentengo ephakeme kakhulu kunamanye ama-PDE5 inhibitors. IViagra ibonakala ithandwa kakhulu, kepha kungenzeka ngenxa yenani layo eliphansi nesikhathi emakethe. Ngezinye izikhathi kungathatha ukulingwa nephutha ukuthola umuthi olungele wena, futhi udokotela wakho angakusiza unqume.
Ngingayisebenzisa iStendra noma iViagra ngenkathi ngikhulelwe?
Ngoba akukho sidakamizwa esikhonjisiwe ukusetshenziswa kwabesifazane, azikho izifundo zokunquma ukuphepha lapho ukhulelwe. Ngakho-ke, akunconywa ukusebenzisa iStendra noma iViagra ngenkathi ukhulelwe.
Ngingayisebenzisa iStendra noma iViagra ngotshwala?
Utshwala bungaphazamisa amandla omzimba wokufeza ukwakhiwa; kodwa-ke kungahle kulungile ngamanani amancane. Cela iseluleko kumhlinzeki wakho wezokwelapha.
Uhlala isikhathi esingakanani uStendra?
I-Stendra iqala ukusebenza ngokushesha ngemuva kwemizuzu engu-15-30 ngemuva kokuphuza umuthi, futhi ingahlala amahora angafika kwayisithupha.
Ingabe kukhona okujwayelekile kweStendra?
Njengamanje, akukho okujwayelekile kweStendra. Lapho kutholakala i-generic, izobizwa ngegama layo lamakhemikhali, i-avanafil.
Ungathenga iStendra ngaphezulu kwekhawunta?
Cha. I-Stendra itholakala kuphela ngemithi kadokotela e-United States. I-Viagra itholakala kuphela ngemithi kadokotela e-US.
