Main >> Imfundo Yezempilo >> Yiziphi izinketho zami ze-OTC nezidakamizwa zokuyeka ukubhema izidakamizwa

Yiziphi izinketho zami ze-OTC nezidakamizwa zokuyeka ukubhema izidakamizwa

Yiziphi izinketho zami ze-OTC nezidakamizwa zokuyeka ukubhema izidakamizwaUsokhemisi Wezemfundo Yezempilo Wazi Kakhulu

Siyabazisa osokhemisi kwaSingleCare, futhi siyabona ukuthi babaluleke kangakanani eqenjini lakho lezokunakekelwa kwempilo. Yingakho sethule uchungechunge lwethu lwe-Pharmacist Knows Best. Inyanga ngayinye usokhemisi wethu wasendlini, uRamzi Yacoub, Pharm.D., Uzosifundisa ngemithi, impilo, noma izihloko zokuphila kahle umuntu ovamile okufanele azi ngazo. Ngemuva kwakho konke, osokhemisi bazi kangcono kakhulu!

Akukaze kwephuze kakhulu ukuyeka ukubhema. Ingozi yakho yesifo nokufa ngaphambi kwesikhathi incipha kakhulu lapho uyeka. Kukhona izinzuzo zezempilo kunoma yimuphi unyaka — futhi lapho uyeka ngokushesha, ziyanda kakhulu.



Kunezinhlobo eziningi zemithi yokuyeka ukubhema esebenzayo ukukusiza uqede lo mkhuba. Kubalulekile ukuthola insiza yokuyeka ukubhema esebenza kangcono kuwe futhi ezokusiza ukuthi unikele ngogwayi ngokuphelele.

lisebenza kangakanani uhlelo b ngemuva kwezinsuku ezi-3

OKUSHIWO: Ingabe ukubhema kuyayandisa ingozi yakho yokuthola i-COVID-19?

Kungani kunzima kangaka ukuyeka ukubhema?

I-nicotine yinto eyinhloko emikhiqizweni kagwayi edala ukulutheka. Uma uzama ukuyeka ukubhema, ungaba nezimpawu zokuhoxa kwe-nicotine ngoba umzimba wakho uncike emiphumeleni ye-nicotine. Izimpawu ezijwayelekile zokuhoxa kwe-nicotine zifaka ukucasuka, ukukhathazeka, ukulala kanzima nokwanda kwesifiso. Ukungakhululeki abakudingayo kungakwenza ufune ukuthatha lo mkhuba futhi, ukuze uhlukane nawo.



7 yeka ukubhema izinsiza kusebenza

Ngenhlanhla, kunezinketho ezahlukahlukene ezikusiza ukuthi ulumule kancane kancane ku-nicotine futhi wehlise izimpawu zokuhoxa ezenza kube nzima ukuyeka.

  1. Ushingamu weNicotine
  2. I-nicotine lozenge
  3. Isichibi seNicotine
  4. I-nicotine inhaler
  5. Isifutho samakhala weNicotine
  6. Amaphilisi angenayo i-nicotine (Chantix, Zyban)
  7. Imithi engekho ilebula

I-Pharmacotherapy yokuyeka ukubhema iwela ezigabeni ezimbili eziyinhloko: ukwelashwa okubuyisela i-nicotine nemikhiqizo yokuyeka ukubhema engeyona ye-nicotine.

Ukwelashwa kokufaka esikhundleni seNicotine (NRT)

Imikhiqizo yokufaka esikhundleni seNicotine ukuhlinzeka ngamazinga afanayo e-nicotine ancipha kancane kancane ngokuhamba kwesikhathi.



Ama-NRTs ayatholakala kumafomula ahlukene namandla-e-the-counter (OTC) nemithi kadokotela. Kuboniswa yi-U.S. Food and Drug Administration ukuthi isetshenziselwe amasonto ayi-8-12 kepha ingasetshenziswa isikhathi eside uma wena nomhlinzeki wakho wezokunakekelwa kwempilo nibona ukuthi kudingekile.

Ama-OTC NRTs

Imikhiqizo ye-OTC yonke itholakala kumikhiqizo yamagama ehlukahlukene futhi iyatholakala njengemithi yokwenziwa. Kubandakanya:

  • Gum ihlafunwa kancane ize iyaluza. Bese ufaka ushungamu phakathi kwesihlathi nensini kuze kube yilapho ukudamba kungasekho. Phinda le nqubo kuze kube yilapho iningi le-tingle lingasekho (cishe imizuzu engama-30). UNicorette yigama lomkhiqizo elijwayelekile.
  • AmaLozenges kufanele ivunyelwe ukuncibilika kancane (cishe imizuzu engama-20-30) futhi akufanele ihlafunwe noma igwinywe. UNicorette yigama lomkhiqizo elijwayelekile.
  • Amapeshi asetshenziswa endaweni ehlanzekile, eyomile yesikhumba sakho emzimbeni ongaphezulu noma engalweni engaphezulu engaphezulu. Amachashazi angagqokwa amahora angama-16-24 futhi wonke ama-patch kufanele asetshenziswe endaweni ehlukile ukugwema ukucasuka kwesikhumba. UNicoderm Cq yigama lomkhiqizo elijwayelekile.

Ama-NRTs kadokotela

Amafomu kadokotela we-NRT atholakala kuphela ngaphansi kwegama lomkhiqizo elithi Nicotrol futhi atholakala njenge:



  • I-inhaler ukwakheka kuphefumulelwa ngomlomo kaningi ngosuku. Kungadala ukucasuka komlomo noma komphimbo lapho uqala ukusebenzisa i-inhaler. I-Nicotrol yigama lomkhiqizo elijwayelekile.
  • Isifutho sekhala ufuthwa emakhaleni kaningi ngosuku. Kungadala ukucasuka emakhaleni noma emphinjeni lapho uqala ukuyisebenzisa.

Ngaphambi kokuqala noma yimuphi umkhiqizo we-NRT, kufanele uhlale uthintana nomhlinzeki wakho wezokunakekelwa kwempilo, ikakhulukazi:

  • Abesifazane abakhulelwe noma abancelisayo
  • Abantu abanesifo sikashukela, i-asthma, noma isimo senhliziyo
  • Abantu abanomfutho wegazi ophakeme noma ukushaya kwenhliziyo okungajwayelekile

Kufanele uyeke ukuthatha umkhiqizo we-NRT bese ufonela umhlinzeki wakho wezokunakekelwa kwezempilo uma unezinye zalezi zimpawu ezilandelayo: isicanucanu, isiyezi, ukuhlanza, noma ukushaya kwenhliziyo okungajwayelekile.

Imikhiqizo yokuyeka ukubhema engeyona ye-nicotine

Uma ungeke ukwazi ukusebenzisa umkhiqizo we-NRT ngenxa yesimo sempilo, noma uyazi ukuthi ngeke ukhumbule ukuwusebenzisa kaningi ngosuku, kunezidakamizwa ezimbili zokuyeka ukubhema ezitholakala kwifomu lethebhulethi:



  • I-Chantix (i-varenicline tartrate)
  • Zyban (i-bupropion hydrochloride)

I-Zyban itholakala ngendlela ejwayelekile, kepha i-Chantix itholakala kuphela njengomkhiqizo.

Zombili lezi zinto zokuyeka ukubhema zithinta amakhemikhali ebuchosheni bakho ukusiza ukunciphisa izifiso zakho ze-nicotine futhi zithathwa kabili ngosuku. Isikhathi sokwelashwa kwale mithi ngokuvamile amasonto ayi-12, kodwa uma uyekile ngempumelelo ukubhema, singasetshenziswa isikhathi eside ukunciphisa ubungozi bokubhema kabusha.

Ingabe umnyango wezempilo unikeza mahhala ngokulawulwa kokuzalwa

Imithi engekho ngaphandle kwelebula yokuyeka ukubhema

Kubantu ababhemayo abangaphumeleli ngolunye lwalezi zindlela zokwelapha, abanye odokotela bazonikeza eminye imithi off-ilebula ukusiza. I-Off-label isho nje ukuthi ayivunyelwe i-FDA yalokhu kusetshenziswa okuthile. Ngokusho kwe- I-American Cancer Society , lezi zinketho zifaka i-nortriptyline (i-antidepressant), i-clonidine (i-antihypertensive), i-cytisine (i-plant compound), ne-naltrexone (i-opiate antagonist).



Imiphumela emibi yezidakamizwa zokuyeka ukubhema

I-FDA ikhiphe izexwayiso ezithile ngokuthatha le mithi yokuyeka ukubhema kodwa inqume ukuthi izinzuzo zokuyeka ukubhema zidlula ingozi yokuthatha le mithi. Izingozi zihlobene nemiphumela emibi yempilo yengqondo futhi uma ubona noma yiluphi ushintsho esimweni sengqondo noma ekuziphatheni ngenkathi uthatha le mithi, kufanele kubikwe kudokotela wakho futhi uyeke ukuthatha umuthi.

Eminye imiphumela emibi ejwayelekile yeCantix ifaka isicanucanu, izinkinga zokulala, ukuqunjelwa, igesi, ukuhlanza.

KuZyban, imiphumela emibi ejwayelekile ifaka umlomo owomile, ukuqwasha, isiyezi, ukuqunjelwa, isicanucanu.

Uma ucabanga ngemithi yokuyeka ukubhema, khuluma nomhlinzeki wakho wezokunakekelwa kwempilo noma usokhemisi.

OKUSHIWO: Ingabe kufanele uthathe i-Wellbutrin ukuyeka ukubhema?

Qhathanisa izidakamizwa zokuyeka ukubhema

Igama lomuthi Ifomu I-Rx / OTC Okuqhamuka uma udla imishanguzo Ukuthandwa * Intengo emaphakathi Ikhuphoni le-SingleCare
UNicorette Ushingamu weNicotine OTC Ukushintsha kwemizwelo, ukozela, ubunzima bokugxila, ukwanda kwesifiso sokudla, ubuhlungu nezinhlungu, ukuqunjelwa # 1 $ 26.78 Thola isigqebhezana
I-Chantix Ithebhulethi engeyona-nicotine I-Rx Ukucanuzela kwenhliziyo, izinkinga zokulala, ukuqunjelwa, igesi, ukuhlanza #ezimbili $ 487.35 Thola isigqebhezana
UNicorette I-nicotine lozenge OTC Ukushintsha kwemizwelo, ukukhathala, ukukhathazeka ukugxila, ukuzuza kwesisindo, ubuhlungu noma izinhlungu, ukuqunjelwa # 3 $ 23.69 Thola isigqebhezana
INicotrol NS Isifutho samakhala weNicotine I-Rx Ukucasula amakhala noma umphimbo # 4 $ 473.40 Thola isigqebhezana
I-Nicotrol I-nicotine inhaler I-Rx Ukucasuka komlomo noma umphimbo # 5 $ 450.54 Thola isigqebhezana
UNicoderm Cq Isichibi seNicotine OTC Isicelo sokucasulwa kwesiza, isiyezi, ikhanda, isisu # 6 $ 88.94 Thola isigqebhezana
Zyban Ithebhulethi engeyona-nicotine I-Rx Umlomo owomile, ukuqwasha, isiyezi, ukuqunjelwa, isicanucanu # 7 $ 272.34 Thola isigqebhezana

* Ukuthandwa kwezidakamizwa kusekelwe kudatha yokugcwaliswa kadokotela ye-SingleCare. Isidakamizwa esithandwa kakhulu ukuyeka ukubhema (# 1) sinemithi kadokotela egcwalisa kakhulu phakathi kwemithi eyisikhombisa echazwe ngenhla phakathi kukaJanuwari 1, 2019 noMeyi 30, 2020.

OKUSHIWO: I-Wellbutrin vs. Chantix

Imibuzo ejwayelekile ukubuzwa

Kusho ukuthini ukuyeka ukubhema?

Ukuyeka ukubhema kuyinqubo yokuyeka ukusetshenziswa kukagwayi. Ugwayi uqukethe ikhemikhali ebizwa ngokuthi i-nicotine. I-nicotine iyalutha futhi idala izimpawu zokuhoxa (izifiso, isicanucanu, ukucasuka, ukushintsha kwemizwelo, ukuzuza, njll.), Okwenza ukuyeka ukubhema kube inqubo enzima.

Iyini imikhiqizo yokuyeka ukubhema?

Kunezigaba ezimbili zemikhiqizo yokuyeka ukubhema:

  1. Ukwelashwa kokufaka esikhundleni seNicotine : Izinsini, amalogo, amapeshi, izifutho zamakhala, nama-inhalers aqukethe umthamo ophansi we-nicotine uma kuqhathaniswa nokubhema futhi kunciphisa izimpawu zokuhoxa.
  2. Izidakamizwa zokuyeka ukubhema ezingezona i-nicotine : Imithi yokwelashwa yomlomo engenayo i-nicotine kepha yehlisa izimpawu zokuhoxa, njengokufisa.

Yiluphi usizo oluhle kakhulu lokuyeka ukubhema?

Alukho usizo olusebenza ngempumelelo lokuyeka ukubhema. Uchwepheshe wezokunakekelwa kwempilo angakusiza ukuthi uthole usizo oluhle kakhulu lokuyeka ukubhema.

Izindlela zokwelashwa esikhundleni seNicotine zisebenza ngokulinganayo futhi zandisa amazinga okuyeka ukubhema ngo 150% kuya ku-200% . Izimangalo ze-Chantix ukusiza abantu abaningi ukuyeka ukubhema kune-nicotine patch, bupropion, noma i-placebo, kodwa isilingo esisodwa somtholampilo akudalulanga ukubaluleka kwezibalo phakathi kwemikhiqizo. Kodwa-ke, olunye ucwaningo luthole lokho I-Chantix yayisebenza kakhulu kuneZyban .

ungaphuza utshwala ngenkathi uthatha i-crestor

Qaphela: Ama-E-cigarettes awasebenzi ngempumelelo ukuyeka ukubhema. Ucwaningo oluningi lukhombisa ukuthi i-e-cigarettes namanye amadivayisi we-vaping akanciphisi kakhulu ukusetshenziswa kukagwayi, ngokusho kwe- Isikhungo Sokulutha Umlutha .

Yimaphi amaphilisi ongawasebenzisa ukuyeka ukubhema?

I-Chantix ne-Zyban yizinhlobo ezimbili zamathebulethi ongazithatha ukumisa ukubhema. Kodwa-ke, kuneminye imithi engekho ilebula efomini le-capsule noma ithebhulethi udokotela angayibeka kuye ngesimo sakho. Lokhu kufaka phakathi clonidine (ithebhulethi), nolwethu (capsule), futhi umabhebhana (ithebhulethi).

Ingabe ukuyeka ukubhema kumahhala?

Ukuyeka ukubhema kungaba mahhala nomshuwalense. Cishe zonke izinhlelo zomshuwalense wezempilo (iMakethe, iMedicaid, neMedicare Part D) zimboza izindlela zokwelashwa zokuyeka ukubhema.

Uma ungenayo umshuwalense wezempilo, usengonga kumuthi wokuyeka ukubhema ngamakhuphoni womkhiqizi namakhadi esaphulelo kadokotela, njengeSingleCare.

OKUSHIWO: Ungayithola kanjani i-Chantix yamahhala (noma ngaphandle komshwalense)

Ngingakuyeka kanjani ukubhema ngaphandle kwemithi?

Ungakuyeka ngempumelelo ukubhema ngaphandle kwemithi. Ukwelashwa kweqembu nokuyeka ukubanda okubandayo kuyizindlela ezingezona ezemithi zokuyeka ukubhema. Labo ababamba iqhaza ezinhlelweni zokuyeka ukubhema ezenziwa ngamaqembu kukhona 50% kuya ku-130% maningi amathuba okuthi uyeke ukubhema. Ngokwengeziwe, ukuyeka ukubanda okubandayo nokugwema i-nicotine ngokuphelele kungaba yi indlela enempilo kunazo zonke ukuyeka ukubhema. Kodwa-ke, izimpawu zokuhoxa ezivela kule ndlela kungenzeka ukuthi zibe nzima kakhulu kunohlelo olwenzeka kancane kancane ngezindlela zokwelapha ezingena esikhundleni se-nicotine.