Main >> Izidakamizwa Vs. Umngani >> I-Vyvanse vs. Adderall: Umehluko, ukufana, nokuthi yikuphi okungcono kuwe

I-Vyvanse vs. Adderall: Umehluko, ukufana, nokuthi yikuphi okungcono kuwe

I-Vyvanse vs. Adderall: Umehluko, ukufana, nokuthi yikuphi okungcono kuweIzidakamizwa Vs. Umngani

Ukubuka konke kwezidakamizwa nokwehluka okuyinhloko | Izimo zilashwa | Ukusebenza | Ukutholakala komshuwalense nokuqhathaniswa kwezindleko | Okuqhamuka uma udla imishanguzo | Ukusebenzisana kwezidakamizwa | Izexwayiso | Imibuzo evame ukubuzwa





I-Adderall neVyvanse yimithi evuselelayo evunyelwe yi-Food and Drug Administration (FDA) yokwelapha iziguli ngayo i-ADHD yabantu abadala noma i-ADHD yobuntwana. I-Adderall ibuye isetshenziselwe ukwelapha ukuhlukunyezwa kubantu abadala noma ezinganeni; IVyvanse ibuye isetshenziselwe ukuphazamiseka kokudla ngokweqile (BED) kubantu abadala.



I-Adderall iqukethe i-chemical dextroamphetamine / amphetamine (ebizwa nangokuthi i-amphetamine salts). IVyvanse iqukethe i-lisdexamfetamine dimesylate, eyaziwa njenge-prodrug ngoba iqala njenge-lisdexamfetamine futhi iguqulwe ibe yimo yayo esebenzayo, i-dextroamphetamine, epheshaneni le-GI nesibindi. Le ndlela yehlisa amandla okuhlukunyezwa kweVyvanse. Bobabili u-Adderall noVyvanse yibo ISheduli II izidakamizwa, okusho ukuthi kunethuba eliphezulu lokuhlukunyezwa.

Zombili lezi zidakamizwa zivame ukumbozwa umshwalense. I-Adderall ne-Adderall XR (ukukhishwa okunwetshiwe, noma ukusebenza isikhathi eside) kuyatholakala nge-brand and generic, kuyilapho i-Vyvanse okwamanje itholakala kuphela njengomuthi wegama lomkhiqizo.

Yini umehluko omkhulu phakathi kwe-Adderall neVyvanse?

Adderall

I-Adderall yisidakamizwa esishukumisa isimiso sezinzwa esisetshenziswa ekwelapheni i-ADHD kanye ne-narcolepsy kubantu abadala nasezinganeni. Ifika ngefomu le-capsule (XR) ekhishwa ngokushesha futhi enwetshiwe; womabili atholakala ngomkhiqizo nangohlobo olujwayelekile. Igama elijwayelekile lingu-dextroamphetamine / amphetamine.



I-Adderall ivame ukumbozwa ngumshuwalense kepha ukusebenzisa okujwayelekile kuvame ukubiza kakhulu. Lo muthi uvame ukuphuzwa kabili noma kathathu ngosuku; umthamo ngamunye uhlala cishe amahora amane. I-Adderall XR ithathwa kanye ngosuku futhi ingahlala amahora ayisishiyagalombili kuya kwayi-12.

I-Adderall iza nemiphumela emibi eminingi, ukuxhumana kwezidakamizwa, kanye nezexwayiso, eziningi zazo ezingaphathwa ngokuqapha ngokucophelela nangokuhlola okuqhubekayo.

UVyvanse

I-Vyvanse yisidakamizwa esishukumisa isimiso sezinzwa esisetshenziswa ekwelapheni i-ADHD kubantu abadala nasezinganeni, kanye nasesimweni sokudla ngokweqile kuya kokubi kakhulu kubantu abadala. IVyvanse iza nefomu le-capsule kanye nethebhulethi ehlafunwayo futhi itholakala ngohlobo lomkhiqizo kuphela. IVyvanse ivame ukumbozwa umshwalense kodwa ngoba itholakala ngophawu kuphela, iziguli zingaba ne-copay ephakeme, yize yonke imishwalense yehlukile.



Igama lamakhemikhali likaVyvanse yi-lisdexamfetamine, kanti umuthi uphenduka ube yi-dextroamphetamine epheshaneni le-GI. Ngenxa yalomshini, kungahle kube nethuba elincane lokuhlukunyezwa kune-Adderall. UVyvanse uthathwa kanye nsuku zonke ekuseni; umthamo ungahlala amahora angama-14.

Njengo-Adderall, uVyvanse uza nemiphumela emibi eminingi, ukuxhumana kwezidakamizwa, kanye nezexwayiso, eziningi zazo ezingaphathwa ngokuqapha ngokucophelela nangokuhlola okuqhubekayo.

Umehluko omkhulu phakathi kwe-Adderall neVyvanse
Adderall UVyvanse
Isigaba Sezidakamizwa I-CNS Ishukumisayo I-CNS Ishukumisayo
Isimo somkhiqizo / ejwayelekile I-Brand ne-generic iyatholakala Umkhiqizo kuphela
Ngubani igama elijwayelekile? I-Dextroamphetamine / amphetamine I-Lisdexamfetamine dimesylate
Ungena ngaluphi uhlobo umuthi? Ithebhulethi: 5, 7.5, 10, 12.5, 15, 20, 30 mg



(Futhi kuza kuthebhulethi ekhishwe isikhathi eside (XR))

Amaphilisi: 10, 20, 30, 40, 50, 60, 70 mg

Kuyabhekwa: 10, 20, 30, 40, 50, 60 mg

Uyini umthamo ojwayelekile? (Imithamo iyahlukahluka; izibonelo ezinikeziwe ngamanani aphakathi nendawo) I-ADHD kubantu abadala: 5 kuya ku-40 mg ngosuku, ihlukaniswe kanye, kabili, noma kathathu nsuku zonke



I-narcolepsy kubantu abadala: 5 kuya ku-60 mg ngosuku, ihlukaniswe kanye, kabili noma kathathu nsuku zonke

I-ADHD ezinganeni:



Iminyaka engu-3-5: 2.5 kuya ku-40 mg ngosuku ihlukaniswe kanye, kabili, noma ama-3 nsuku zonke

Iminyaka engu-6 nangaphezulu: 5 kuya ku-40 mg ngosuku ihlukaniswe kanye, kabili, noma kathathu nsuku zonke



I-narcolepsy ezinganeni:

Uneminyaka engu-6 ubudala nangaphezulu: 5 kuya ku-60 mg ngosuku ihlukaniswe kanye, kabili, noma kathathu nsuku zonke

I-ADHD kubantu abadala noma ezinganeni (6 nangaphezulu): 30 kuya ku-70 mg kanye ngosuku nsuku zonke ekuseni (umthamo omkhulu ungama-70 mg ngosuku)

Ukuphazamiseka kokudla ngokweqile (ngokulingene kuya kokubi) kubantu abadala: 50 kuya ku-70 mg njalo ekuseni (kungaqala ku-30 ​​mg futhi kukhuphuke; umthamo omkhulu ungama-70 mg ngosuku)

Yelashwa isikhathi esingakanani? Engafundelwe ukusetshenziswa kwesikhathi eside, iziguli kufanele zihlolwe kaningi. Ukufaka kwephakheji kuza nesexwayiso: Ukuphathwa kwama-amphetamine isikhathi eside kungaholela ekuthembekeni kwezidakamizwa futhi kufanele kugwenywe. Akufundwanga ngaphezu kwamasonto ama-4; iziguli kufanele ziqashwe ngeso lokhozi ngenkathi ziseVyvanse. Ukufaka kwephakheji kuza nesexwayiso: Ukuphathwa kwama-amphetamine isikhathi eside kungaholela ekuthembekeni kwezidakamizwa futhi kufanele kugwenywe.
Ubani ovame ukusebenzisa umuthi? Abantu abadala noma izingane ezine-ADHD noma i-narcolepsy Abantu abadala abane-ADHD noma abalinganiselwa kokuphazamiseka kokudla ngokweqile; izingane ezine-ADHD

Ufuna intengo engcono ku-Adderall?

Bhalisela izexwayiso zentengo ye-Adderall bese uthola ukuthi intengo ishintsha nini!

Thola izexwayiso zentengo

Izimo eziphathwe ngu-Adderall noVyvanse

I-Adderall isetshenziswa kubantu abadala nezingane ekwelapheni i-ADHD noma i-narcolepsy. IVyvanse isetshenziswa kubantu abadala nezingane ekwelapheni i-ADHD. Ibuye isetshenziselwe abantu abadala ukuthola ukuphazamiseka kokudla ngokweqile kuya kokulingene.

Isimo Adderall UVyvanse
I-ADHD (izingane nabantu abadala) Yebo Yebo
Ukuphazamiseka kokudla ngokweqile (ngokulingene kuya kokubi) Akunjalo Yebo
I-narcolepsy (izingane nabantu abadala) Yebo Akunjalo

Ngabe i-Adderall noma iVyvanse isebenza kangcono?

Ekuhlaziyweni kokusebenza kwe-Adderall, okushicilelwe ku Ijenali Yokuphazamiseka Kokunakwa , kwabuyekezwa izifundo eziyisithupha. I-Adderall itholakale isebenza kahle kakhulu kwizimpawu zokunganakwa, ukungasebenzi kahle, ukungacabangi, kanye nolaka. Ucwaningo lomtholampilo lwe I-Adderall XR ikhombise ukuthuthuka okuphawulekayo kune-placebo ngokuya ngokuziphatha, ukunakwa, kanye nokusebenza ngokweqile.

Ucwaningo lwango-2016 olushicilelwe ku- Ukuphenya Ngezidakamizwa Zomtholampilo ithole ukuthi uVyvanse uzuzisa izingane, intsha, nabantu abadala abane-ADHD. Ocwaningweni olushicilelwe ku- I-JAMA Psychiatry ngo-2017, uVyvanse watholakala ewusizo ekuvimbeleni ukubuyela esimweni sokuphazamiseka kokudla ngokweqile. Zingu-3.7% kuphela iziguli zikaVyvanse ezibuyile, uma kuqhathaniswa neziguli ezingama-32.1 ezithatha i-placebo.

Yomibili le mithi ikhonjisiwe ukuthi iyasebenza; kodwa-ke, wonke umuntu uphendula ngokuhlukile emithini. Xhumana nodokotela wakho mayelana nokuthi imuphi umuthi ongakulungela wena noma ingane yakho.

Ufuna intengo engcono kakhulu kuVyvanse?

Bhalisela izexwayiso zentengo kaVyvanse bese uthola ukuthi intengo ishintsha nini!

Thola izexwayiso zentengo

Ukuhlanganiswa kanye nokuqhathaniswa kwezindleko kweVyvanse vs. Adderall

Umshuwalense uvame ukumboza i-Adderall (brand and generic) neVyvanse; eminye imishwalense empeleni ithanda igama lomkhiqizo i-Adderall XR kunenye indlela ejwayelekile, ngenxa yezivumelwano zomshuwalense.

Ungagcina kwimithi kadokotela ngamakhuphoni e-SingleCare; chofoza izixhumanisi ukuhlola ukonga kwethu ku-Adderall naseVyvanse.

Adderall UVyvanse
Ngokuvamile embozwe umshwalense? Yebo Yebo
Imbozwe ngokwejwayelekile yi-Medicare Part D? Ngokuvamile; I-copay izohluka Akuvamile; IVivvanse imvamisa ayithandwa futhi inezindleko eziphakeme kakhulu zokuphuma ephaketheni leziguli zeMedicare D
Umthamo ojwayelekile Isibonelo: i-generic Adderall 20 mg, 60 count, ithathwa njengethebulethi eli-1 kabili ngosuku Isibonelo: 50 mg, 30 count, kuthathwa kanye ngosuku ekuseni
I-Medicare Part D copay $ 7-78; kuyehluka $ 42-349; kuyehluka
Izindleko ze-SingleCare $ 31 $ 313

Imiphumela emibi ejwayelekile ye-Adderall vs Vyvanse

Imiphumela emibi ye-Adderall :

Eminyakeni eyisithupha kuya kwengu-12, imiphumela emibi kakhulu ukulahleka kwesifiso sokudla, ukuqwasha, ubuhlungu besisu, ukuguquka kwemizwelo, ukuhlanza, ukwethuka, isicanucanu, nomkhuhlane.

Ezinganeni ezineminyaka esukela kwengu-13 kuya kwengu-17, imiphumela emibi kakhulu ukwehluleka ukudla, ukungalali kahle, ubuhlungu besisu, ukwehla kwesisindo nokwethuka.

Kubantu abadala, imiphumela emibi evame kakhulu umlomo owomile, ukulahlekelwa isifiso sokudla, ukuqwasha, ikhanda, ukulahlekelwa isisindo, isicanucanu, ukukhathazeka, ukukhathazeka, isiyezi, i-tachycardia (ukushaya kwenhliziyo okusheshayo), isifo sohudo, ubuthakathaka kanye nezifo zomgudu womchamo.

Imiphumela emibi yeVyvanse :

Imiphumela emibi ejwayelekile ezinganeni, ebusheni, kanye / noma kubantu abadala abane-ADHD yi-anorexia, ukukhathazeka, ukuncipha kwesifiso sokudla, ukwehla kwesisindo, isifo sohudo, isiyezi, umlomo owomile, ukucasuka, ukuqwasha, isicanucanu, ubuhlungu besisu esingaphezulu, nokuhlanza.

Imiphumela emibi ejwayelekile kubantu abadala abane-BED umlomo owomile, ukuqwasha, ukuncipha kwesifiso sokudla, ukukhuphuka kwenhliziyo, ukuqunjelwa, ukuzwa ukukhathazeka nokukhathazeka.

Xhumana nochwepheshe wezokunakekelwa kwempilo ukuthola eminye imininingwane ngemiphumela engemihle.

Ukusebenzisana Kwezidakamizwa kweVyvanse vs. Adderall

U-Adderall noVyvanse banephrofayili efanayo yokusebenzisana kwezidakamizwa.

I-Tricyclic antidepressants, efana ne-Elavil (amitriptyline) noma i-Pamelor (nortriptyline) ingakhuphula imiphumela emibi yenhliziyo ye-Adderall noma i-Vyvanse; iziguli kufanele ziqashwe ngeso lokhozi.

I-Paxil (i-paroxetine) noma i-Prozac (i-fluoxetine) yi-SSRI antidepressants engakhuphula ubungozi i-serotonin isifo lapho ithathwa ne-Adderall noma i-Vyvanse. Izidakamizwa ze-SNRI ezifana ne-Effexor (venlafaxine) nazo zingabeka ingozi efanayo ye-serotonin syndrome lapho ithathwa nge-Adderall noma i-Vyvanse.

I-Monoamine oxidase inhibitors (MAOIs), efana ne-selegiline, ngokuhlanganiswa ne-Adderall noma i-Vyvanse, ingadala inkinga ye-hypertensive, futhi iholele ekufeni. Ama-MAOI akufanele asetshenziswe kungakapheli izinsuku eziyi-14 kusukela e-Adderall noma eVyvanse. I-Adderall noma i-Vyvanse nayo ingaxhumana nemithi yomfutho wegazi.

Izidakamizwa Isigaba Sezidakamizwa Adderall UVyvanse
I-Prozac (fluoxetine)

I-Paxil (paroxetine)

I-Celexa (citalopram)

I-Zoloft (sertraline)

I-Lexapro (escitalopram)

Izidakamizwa ze-SSRI Yebo Yebo
U-Elavil (amitriptyline)

I-Pamelor (nortriptyline)

I-Tricyclic antidepressants Yebo Yebo
I-Effexor (venlafaxine), iPristiq (desvenlafaxine), iCymbalta (duloxetine) Izidakamizwa ze-SNRI Yebo Yebo
I-Desyrel (trazodone), i-Wellbutrin (i-bupropion) Amanye ama-anti-depressants Yebo Yebo
I-Selegiline, i-tranylcypromine Ama-inhibitor e-MAO Yebo Yebo
Imishanguzo yegazi Zonke izigaba Yebo Yebo
I-Axert (almotriptan), Imitrex (sumatriptan), uMaxalt (rizatriptan), uZomig (zolmitriptan), uRelpax (eletriptan) Ama-agonists we-serotonin receptor okhethiwe we-migraine Yebo Yebo
I-Prevacid (lansoprazole), i-Prilosec (i-omeprazole), i-Protonix (i-pantoprazole) I-PPI (Proton pump inhibitors) Yebo Yebo

Lolu uhlu oluyingxenye. Xhumana nomhlinzeki wakho wezokunakekelwa kwempilo ngokuhlola okwenziwe ngokwakho kokusebenzisana kwezidakamizwa nemithi yakho.

Izexwayiso zikaVyvanse no-Adderall

U-Adderall noVyvanse banezexwayiso ezifanayo:

  • Isixwayiso esinamandla sokusebenzisa kabi / ukuhlukumeza, ikakhulukazi ngokusetshenziswa isikhathi eside. Ukusetshenziswa kabi kungadala nokufa okungazelelwe noma izinkinga zenhliziyo neminye imiphumela emibi emibi yenhliziyo ezigulini.
  • Kubikwe ukufa okungazelelwe, noma ngemithamo ejwayelekile. Abantu abadala nalabo abanezinkinga zenhliziyo noma yiziphi izinkinga zenhliziyo ezinkulu basengozini enkulu.
  • Umfutho wegazi ungakhuphuka, imvamisa kancane kuphela, kepha kwesinye isikhathi kakhulu. Iziguli kufanele ziqashwe.
  • I-psychosis esivele ikhona ingase ibe yimbi. Iziguli kufanele futhi zibhekwe nezinye izimpawu zempilo yengqondo, ezifana nolaka.
  • Izingane kufanele ziqashwe ngokucindezela ukukhula.
  • Umkhawulo wokubanjwa unganciphisa.
  • Ukuphazamiseka okubonakalayo kungenzeka.
  • Iziguli kufanele zihlolwe ngesimo sikaRaynaud (ukusakazwa okulinganiselwe emaphethelweni).
  • I-Serotonin syndrome kungenzeka. Iziguli kufanele zibhekwe ngokucophelela futhi zifune ukwelashwa okuphuthumayo uma kukhona kulezi zimpawu:
    • Izinguquko zesimo sengqondo (ukuyaluza, ukubona izinto ezingekho, i-delirium, ne-coma)
    • Ukushaya kwenhliziyo okusheshayo, ukushintshashintsha komfutho wegazi, isiyezi, ukujuluka, ukugeleza
    • Ukuthuthumela, ukuqina, ukungalingani
    • Ukuquleka
    • Izimpawu zamathumbu (isicanucanu, ukuhlanza, isifo sohudo)

Imibuzo ebuzwa njalo mayelana neVyvanse vs. Adderall

Yini i-Adderall?

I-Adderall iyisikhuthazi esisetshenziselwa ukwelapha i-ADHD kubantu abadala nasezinganeni nasezindlebeni zabantu abadala nezingane.

Kuyini uVyvanse?

IVyvanse iyisikhuthazi esisetshenziselwa ukwelapha i-ADHD kubantu abadala nasezinganeni futhi ilinganisele ekuphazamisekeni kokudla ngokweqile kubantu abadala.

Ngabe uVyvanse no-Adderall bayafana?

Ziyafana kakhulu nemiphumela emibi efanayo, ukuxhumana kwezidakamizwa, kanye nezexwayiso. Umthamo namanani entengo kuyehluka. Umehluko owodwa phakathi kukaVyvanse no-Adderall ngukuthi iVivvanse iyisidakamizwa, futhi iguqula ibe yi-dextroamphetamine epheshaneni le-GI, elehlisa amandla okuhlukumezeka.

Yikuphi okungcono: i-Adderall noma i-Vyvanse?

Kuya ngesimo. Wonke umuntu unokusabela okuhlukile emithini ehlukahlukene. Udokotela wakho angakusiza ukhethe umuthi ofanele wena, ngokuya ngomlando nezidingo zakho zezokwelapha. Isibonelo, uma izindleko kuyisici esinqumayo, i-Adderall ingaba yindlela engcono. Futhi uma ukhathazekile ngokuhlukunyezwa, uVyvanse angabhejwa kangcono.

Ngingasebenzisa i-Adderall noma i-Vyvanse ngikhulelwe?

Cha. U-Adderall noVyvanse kufanele bagwenywe bobabili ngenkathi bekhulelwe noma bencelisa. Uma ukhulelwa ngenkathi usuvele unayo le mithi, thintana nommeli wakho ngokushesha ukuthola izeluleko.

Ngingasebenzisa i-Adderall noma i-Vyvanse ngotshwala?

Cha. Yomibili le mithi iyingozi kakhulu hlanganisa notshwala .

I-Adderall: Utshwala obuningi bungakhuphula izinga lokushaya kwenhliziyo nomfutho wegazi, okungaba yingozi kakhulu ngokuhlanganiswa ne-Adderall. Kungadala nokuhlaselwa yisifo senhliziyo noma ukushaywa unhlangothi futhi kwandise ubungozi bokufakwa ushevu otshwaleni.

I-Vyvanse: Utshwala bunganciphisa eminye yemiphumela evuselelayo yeVyvanse, kanti iVivvanse inganciphisa eminye yemiphumela yokudambisa utshwala. Ngenxa yalokhu, umuntu angazama ukusebenzisa esinye sezidakamizwa noma zombili bese egcina eyeqile.

Kuneminye imiphumela eminingi engabangelwa ukuxuba utshwala neVyvanse, njengokuthi: ushintsho olukhulu kumfutho wegazi, ukukhuphuka kwenhliziyo, izinhlungu zesifuba, isifo senhliziyo, isifo sohlangothi, ubungozi bokuhlaselwa, ubudlova, ukuphambana, ukudideka, ukubona izinto ezingekhoyo, nokuningi.

Ngokwengeziwe, utshwala bungaba nzima i-ADHD.

Ngabe uVyvanse unemiphumela engemihle kune-Adderall?

Imiphumela emibi ifana kakhulu futhi ingafaka: umlomo owomile, ukungathandi ukudla, ukuqwasha, ikhanda, ukulahlekelwa isisindo, isicanucanu, ukukhathazeka, ukukhathazeka, isiyezi, i-tachycardia, nohudo, phakathi kweminye imiphumela emibi.

Ungaxuba i-Adderall neVyvanse?

Cha. Imiphumela eyengeziwe ingadala ukushaya kwenhliziyo okusheshayo, umfutho wegazi ophakeme, noma eminye imiphumela emibi. Kubuye kube ukwelashwa okuyimpinda futhi akudingekile ukuthi usebenzise zombili.

Ngakanani uVivvanse olingana no-Adderall?

Kunezinhlelo ezahlukahlukene zochwepheshe bezokunakekelwa kwempilo abazisebenzisela ukuguqula imithamo phakathi kwemithi, uma kudingeka. Ukuguqulwa kokulinganisa kungenzeka kungabi okuqondile, futhi kungathatha isivivinyo nephutha elincane lapho ushintsha phakathi kwale mithi.

Khumbula, umuthi osebenza kahle kakhulu kufanele unqunywe udokotela wakho kuphela ozobheka sonke isithombe sesimo sakho, umlando wezempilo, neminye imithi engasebenzisana noVyvanse noma i-Adderall