IValium vs. Ativan: 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
IValium ne-Ativan yimithi kadokotela esetshenziselwa ukwelapha ukukhathazeka phakathi kwezinye izimo zempilo yengqondo. Kokubili i-Valium ne-Ativan bayingxenye yesigaba semithi eyaziwa ngokuthi i-benzodiazepines (kwesinye isikhathi ibizwa nge-benzos). Basebenza ngokuthuthukisa umsebenzi we-GABA (gamma-aminobutyric acid) ebuchosheni. I-GABA iyi-neurotransmitter evimbelayo esiza ukunciphisa umsebenzi we-neuronal okweqile.
IValium ne-Ativan zingatholakala kuphela ngemithi kadokotela evumelekile. Ngoba zombili lezi zidakamizwa zingaba namandla okuhlukumeza nokuncika, kufanele zithathwe kuphela ngezeluleko ezifanele zezokwelapha.
Uyini umehluko omkhulu phakathi kweValium vs. Ativan?
IValium yaziwa ngegama layo elejwayelekile elithi diazepam. Isetshenziselwa ukwelapha izimpawu zokukhathazeka, ukuphazamiseka kwemisipha, nokuquleka kubantu abadala nezingane ezineminyaka engu-6 nangaphezulu. IValium ithathwa njenge-benzodiazepine esebenza isikhathi eside ngoba ikhishwa kancane emzimbeni. Kungathatha izinsuku ezimbalwa ukuthi iValium isuswe emzimbeni.
I-Ativan — igama elijwayelekile elithi lorazepam — likhonjiswa ukwelapha izimpawu zokukhathazeka yize lingasetshenziselwa nokuqwasha kanye nokuquleka okuthile kubantu abadala nezingane ezineminyaka eyi-12 nangaphezulu. Uma kuqhathaniswa nezinye benzodiazepines , I-Ativan ithathwa njenge-benzodiazepine esebenza phakathi nendawo enempilo engangehora elingu-18.
| Umehluko omkhulu phakathi kweValium ne-Ativan | ||
|---|---|---|
| I-Valium | I-Ativan | |
| Isigaba sezidakamizwa | I-Benzodiazepine | I-Benzodiazepine |
| Isimo somkhiqizo / ejwayelekile | I-Brand ne-generic iyatholakala | I-Brand ne-generic iyatholakala |
| Ngubani igama elijwayelekile? | I-Diazepam | I-Lorazepam |
| Izidakamizwa zingena ngaziphi izinhlobo? | Ithebhulethi yomlomo Ukujova (okujwayelekile) | Ithebhulethi yomlomo Ukujova |
| Uyini umthamo ojwayelekile? | 2 kuya ku-10 mg, kabili kuya kane ngosuku | 2 kuya ku-3 mg ngosuku ihlukaniswe ngemithamo emibili noma emithathu |
| Yelashwa isikhathi esingakanani? | Ukusetshenziswa kwesikhashana, kungabi ngaphezu kwezinyanga ezi-4 | Ukusetshenziswa kwesikhashana, kungabi ngaphezu kwezinyanga ezi-4 |
| Ubani ovame ukusebenzisa umuthi? | Abantu abadala nezingane ezindala kunezinyanga eziyisithupha ubudala | Abantu abadala nezingane ezineminyaka engaphezu kwengu-12 ubudala |
Ufuna intengo engcono kakhulu kuValium?
Bhalisela izexwayiso zentengo yeValium bese uthola ukuthi intengo ishintsha nini!
Thola izexwayiso zentengo
Izimo eziphathwe yi-Valium vs. Ativan
IValium ivunyelwe ukwelashwa ukukhathazeka , ukuquleka, nokudumba kwemisipha. I-Valium inconywa ukuthi isetshenziswe ngokuhlangana nezinye izindlela zokwelapha ukwelashwa kwezifo zokubamba. IValium nayo ivunyelwe ukwelapha izimpawu zokuhoxiswa kotshwala njengokuxokozela, ukundindizela, i-delirium, kanye nemibono. Abanye abantu bangahle banikezwe i-Valium off-label njenge-anxiolytic noma i-sedative ngaphambi kokuhlinzwa.
I-Ativan ivunyelwe ukuphazamiseka kokukhathazeka, ukuqwasha nokuquleka. Kodwa-ke, inezinye izinto ezifana nokwelashwa okungekho kwelebula kokuqaqamba kwemisipha nezimpawu zokuhoxiswa kotshwala. I-Ativan ingasetshenziselwa ukusiza nge-sedation ngaphambi kokuhlinzwa okuthile.
I-Valium noma i-Ativan ingahle inqunywe ngokuya ngezimpawu onazo. Ukuhlolwa ngumhlinzeki wezokunakekelwa kwempilo kuzodingeka ukuze uthole incwadi kadokotela yomunye wale mithi. IValium ne-Ativan azinconyelwe ukusetshenziswa kwesikhathi eside ezimweni eziningi.
| Isimo | I-Valium | I-Ativan |
| Izinkinga zokukhathazeka | Yebo | Yebo |
| Isifo sokuhoxiswa kotshwala | Yebo | Ngaphandle kwelebula |
| Ukudumba kwemisipha yamathambo | Yebo | Ngaphandle kwelebula |
| Ukuquleka | Yebo | Yebo |
| Ukuqwasha | Ngaphandle kwelebula | Yebo |
| Ukuhlala | Ngaphandle kwelebula | Ngaphandle kwelebula |
Ngabe iValium noma i-Ativan isebenza kangcono?
I-Valium noma i-Ativan ingasebenza kangcono ngokususelwa kulokho okuphathwayo. Ngoba wonke umuntu angacubungula izidakamizwa ngokwehlukile, ukusebenza kungahluka ngokuya ngezici zomuntu siqu njengezinye izimo noma eminye imithi ethathwayo (bona ukuhlangana kwezidakamizwa ngezansi).
I-Valium ne-Ativan zikhonjisiwe kusebenza ngokulinganayo njenge-benzodiazepine. Ezinganeni, womabili ama-benzodiazepines ayasebenza ekwelapheni isimo sokuwa, uhlobo olunzima lokuhlaselwa, ezinganeni. Enye icala ithole ukuthi yomibili le mithi iyasebenza ngokulinganayo ekuhoxisweni kwesifo sotshwala. Ngokungahleliwe, isilingo somtholampilo , i-diazepam ne-lorazepam babe nokuphepha nokusebenza ngokufana.
IValium ne-Ativan ikakhulu ziyehluka esikhathini sokusebenza kwazo kanti iValium ithatha isikhathi eside ukusula emzimbeni. Lokhu kungathinta ezinye izinto zokwelashwa ezifana nemiphumela emibi engaba khona.
Ukuhlolwa okufanelekile okuvela kudokotela noma kumhlinzeki wezokunakekelwa kwezempilo kuyadingeka ukuthola indlela yokwelashwa engcono kakhulu. Ukwelashwa kuzokwenzelwa ngokuya ngezimpawu nobukhali.
Ufuna intengo engcono ku-Ativan?
Bhalisela izexwayiso zentengo ye-Ativan bese uthola ukuthi intengo ishintsha nini!
Thola izexwayiso zentengo
Ukuhlanganiswa kanye nokuqhathaniswa kwezindleko kweValium vs. Ativan
Ukuthenga i-Valium ngencwadi kadokotela inqubo eqondile. Kuvame ukumbozwa yi-Medicare nezinhlelo zomshuwalense. Kodwa-ke, izinhlelo eziningi zomshuwalense zizofaka kuphela i-Valium ejwayelekile. Intengo ejwayelekile yokuthengisa ye-diazepam icishe ibe ngama- $ 60. Sebenzisa ikhadi lesaphulelo le-SingleCare kunenzuzo yokwehlisa intengo iye ku- $ 12- $ 48.
I-Ativan ngumuthi kadokotela ongatholwa ngezinhlelo eziningi zomshuwalense. Kuya ngokuthi iyiphi ikhemisi oyithenga kuyo, i-Ativan ingabiza ngaphezulu kwe- $ 800. Sebenzisa isigqebhezana se-SingleCare lorazepam ukuthola umuthi ojwayelekile cishe u- $ 20.
| I-Valium | I-Ativan | |
| Ngokuvamile embozwe umshwalense? | Yebo | Yebo |
| Imbozwe ngokujwayelekile yi-Medicare? | Yebo | Yebo |
| Umthamo ojwayelekile | Amaphilisi ama-2 mg | 0.5 mg amaphilisi |
| I-Medicare copay ejwayelekile | $ 0- $ 12 | $ 0- $ 25 |
| Izindleko ze-SingleCare | $ 12- $ 48 | $ 20 |
Imiphumela emibi ejwayelekile yeValium vs. Ativan
Imiphumela emibi ejwayelekile ye-Ativan ifaka phakathi i-CNS (central system system) imiphumela efana nokuthamba, isiyezi, nokungazinzi. Eminye imiphumela emibi ingafaka ubuthakathaka, ukudideka, kanye nesicanucanu.
Imiphumela emibi ye-Valium ifaka ukozela, ukukhathala, ubuthakathaka bemisipha, nezinkinga ngokusebenzisana (ataxia). Eminye imiphumela emibi abanye abantu ababika ukuthi bayabhekana nayo ifaka phakathi isicanucanu, isiyezi nokudideka.
Imiphumela emibi kakhulu ye-Valium ne-Ativan ingafaka ukucindezeleka kokuphefumula (ukuphuza ukuphefumula), ikakhulukazi uma kuthathwa ngamanani aphezulu. Eminye imiphumela emibi ingafaka izinkinga zememori (amnesia), umfutho ophansi wegazi, ukungaboni kahle, ukuphazamiseka okuyindida, ukucasuka, nokuphazamiseka kokulala.
| I-Valium | I-Ativan | |||
| Imiphumela emibi | Kusebenza? | Imvamisa | Kusebenza? | Imvamisa |
| Ukuhlala | Yebo | * akubikiwe | Yebo | 15.9% |
| Ubuthakathaka bemisipha | Yebo | * | Yebo | 4.2% |
| Ukozela | Yebo | * | Yebo | * |
| Ukukhathala | Yebo | * | Yebo | * |
| I-Ataxia | Yebo | * | Yebo | * |
| Isiyezi | Yebo | * | Yebo | 6.9% |
| Ukungazinzi | Yebo | * | Yebo | 3.4% |
| Isicanucanu | Yebo | * | Yebo | * |
| Ukudideka | Yebo | * | Yebo | * |
Lokhu kungenzeka kungabi uhlu oluphelele. Xhumana nodokotela wakho noma wemithi ngeminye imiphumela emibi.
Umthombo: DailyMed ( I-Valium ), IDailyMed ( I-Ativan )
Ukusebenzisana kwezidakamizwa kweValium vs. Ativan
I-Ativan ingahle ibe nokuhlangana kwezidakamizwa okumbalwa uma kuqhathaniswa neValium. Lokhu kungenxa yokuthi ihlanganiswa nesibindi ngenqubo ebizwa nge-glucuronidation. I-Valium, ngakolunye uhlangothi, icutshungulwa kakhulu ngama-enzyme wesibindi se-CYP. I-Ketoconazole, i-clarithromycin, noma imishanguzo efanayo ingathinta inqubo ye-CYP ye-enzyme yesibindi futhi iguqule ukusebenza noma inyuse imiphumela emibi yale mithi.
AmaBenzodiazepines afana neValium noma i-Ativan angasebenzisana nezinye izidakamizwa ezinemiphumela emibi ye-CNS njenge-antipsychotic, anticonvulsants, barbiturates, antidepressants, kanye sedatives. Ukuthatha i-benzodiazepines ngalezi zidakamizwa kungakhuphula ubungozi bemiphumela emibi njengokulala, ukuthokomala, ukudideka, kanye nokuhlangana kahle.
Ukuthatha i-probenecid kunganciphisa imetabolism yeValium noma i-Ativan lapho ihlanganiswa. Lokhu kungaholela emiphumeleni ende ye-benzodiazepine futhi kwandise ingozi yokuhoxa noma imiphumela emibi.
I-Theophylline ne-aminophylline zinganciphisa imiphumela yokudambisa ama-benzodiazepines afana neValium noma i-Ativan. Le mithi kufanele ixoxwe nodokotela ukuvimbela ushintsho ekusebenzeni.
| Izidakamizwa | Isigaba Sezidakamizwa | I-Valium | I-Ativan |
| I-Oxycodone I-Hydrocodone I-Morphine ICodeine I-Tramadol | Ama-opioid | Yebo | Yebo |
| Phenytoin ICarbamazepine I-Lamotrigine | Ama-anticonvulsants | Yebo | Yebo |
| I-Phenobarbital IPentobarbital Isebitalbital | Ama-barbiturates | Yebo | Yebo |
| I-Haloperidol Olanzapine I-Risperidone | Ama-antipsychotic | Yebo | Yebo |
| Amitriptyline I-Desipramine I-Doxepin I-Nortriptyline | I-Tricyclic antidepressants | Yebo | Yebo |
| I-Rasagiline Isocarboxazid I-Phenelzine USelegiline I-Tranylcypromine | I-Monoamine oxidase inhibitor (MAOI) | Yebo | Yebo |
| I-Probenecid | I-Uricosuric | Yebo | Yebo |
| Theophylline I-Aminophylline | I-Methylxanthine | Yebo | Yebo |
| I-Erythromycin I-Clarithromycin I-Telithromycin I-Rifampin | Imithi elwa namagciwane | Yebo | Akunjalo |
| Ketoconazole I-Itraconazole | Umenzeli we-antifungal | Yebo | Akunjalo |
Lokhu kungenzeka kungabi uhlu oluphelele lwako konke ukuhlangana kwezidakamizwa okungenzeka. Xhumana nodokotela ngayo yonke imithi okungenzeka uyayiphuza.
Izexwayiso ngeValium vs. Ativan
IValium ne-Ativan, njengamanye ama-benzodiazepines, kufanele kugwenywe ngenkathi kuthathwa ama-opioid. Ukuthatha ama-benzodiazepines kanye nama-opioid ndawonye kungandisa ubungozi bokucindezeleka kokuphefumula, ikhoma, ngisho nokufa. I-Benzodiazepines nama-opioid anemiphumela emibi efanayo ye-CNS efana nokozela okungase kuhlanganiswe lapho uwahlanganisa.
AmaBenzodiazepines anengozi eyengeziwe yokuhoxa lapho ukwelashwa kumiswa kungazelelwe. Izimpawu zokuhoxa zingabandakanya ikhanda elibuhlungu, ukuqwasha, nokukhathazeka okwengeziwe. Kubalulekile ukwehlisa le mithi kancane ukunciphisa ubungozi bokuhoxa.
Kokubili iValium ne-Ativan zibhalwe njengezinto ezilawulwa yiSheduli IV yi-DEA. Ngamanye amagama, zinamathuba athile okuhlukunyezwa nokuncika. Ngakho-ke, azinconyelwe ukusetshenziswa isikhathi eside.
IValium ne-Ativan azinconywa ngesikhathi sokukhulelwa. Ukuthatha i-benzodiazepines kuhlotshaniswa nezinkinga zokuzalwa. Zombili lezi zidakamizwa zisesigabeni sokukhulelwa D, okusho ukuthi izifundo zikhombise ubungozi besisu ngokuzisebenzisa.
Imibuzo ebuzwa njalo nge-Valium vs. Ativan
Yini iValium?
I-Valium ngumuthi kadokotela osetshenziselwa ukwelapha ukuphazamiseka kokukhathazeka, ukuhoxiswa kotshwala, kanye nokuphazamiseka kwemisipha. Yi-benzodiazepine esebenza isikhathi eside ekwazi ukwelapha abantu abadala nezingane abaneminyaka engu-6 nangaphezulu.
Yini i-Ativan?
I-Ativan ngumuthi kadokotela ovunyelwe ukuphazamiseka kokukhathazeka, ukuquleka, nokuqwasha. Yi-benzodiazepine esebenza phakathi nendawo engelapha abantu abadala nezingane abaneminyaka eyi-12 nangaphezulu. Amanye ama-benzodiazepines asebenza ngokuphakathi afaka phakathi Xanax (alprazolam) neKlonopin (clonazepam).
Ngabe iValium ne-Ativan ziyefana?
Cha. IValium ngumuthi osebenza isikhathi eside ongathatha izinsuku ezimbalwa ukuthi ususwe emzimbeni. Futhi banemikhawulo ehlukene yeminyaka, imiphumela emibi, nokusetshenziswa okugunyaziwe.
Ngabe iValium noma i-Ativan ingcono?
IValium ne-Ativan zikhonjisiwe ukuthi zisebenza ngokulinganayo. Kodwa-ke, ukusebenza kwabo kuxhomeke kumuntu nasenkingeni elashwa. I-Ativan inokusebenzisana okumbalwa kwezidakamizwa kuneValium.
Ngingayisebenzisa iValium noma i-Ativan ngikhulelwe?
Cha. IValium noma i-Ativan akufanele isetshenziswe ngenkathi ukhulelwe. I-Benzodiazepines ingakhuphula ubungozi bokukhubazeka kokuzalwa nezinkinga zokukhula.
Ngingayisebenzisa iValium noma i-Ativan ngotshwala?
Akunconywa ukuthi uphuze utshwala ngenkathi usebenzisa i-benzodiazepines. Ukwenza kanjalo kungakhuphula ubungozi bemiphumela ecindezelayo ye-CNS njengokulala kanye nesiyezi.
Yini enamandla, iValium noma i-Ativan?
Yomibili le mithi iqala ukusebenza ngokushesha okukhulu. Kodwa-ke, iValium ihlala emzimbeni isikhathi eside kune-Ativan. Ngoba i-Ativan isuswa ngokushesha, ingaba nengozi enkulu yokuhoxa.
Kuyingozi kangakanani ukuxuba i-Ativan neValium?
I-Benzodiazepines akufanele ixutshwe. Ukuthatha i-Ativan neValium ndawonye kungaholela ekudleni ngokweqile. Lokhu kungaholela ekucindezelekeni okukhulu kokuphefumula, ikhoma, kanye / noma ukufa.
Yikuphi okunamandla kakhulu ekukhathazekeni, i-Valium 5mg noma i-Ativan 1mg?
IValium ne-Ativan bancishiswa ngokuhlukile ngokuya ngobukhulu bokukhathazeka. IValium ingathathwa ize ifike kane ngosuku kanti i-Ativan ingathathwa kabili noma kathathu ngosuku. Kungcono ukukhuluma nodokotela ukuze unqume ukuthi iyiphi i-benzodiazepine ezosebenza kangcono ukukhathazeka kwakho.
