Dawooyinka ugu badan ee loo qoro gobol kasta sanadka 2019

Shirkadda

Bishii Ogosto, waxaan jebinay daawooyinka laguu qoro inta badan dadka isticmaala SingleCare , liistada ay ku badnaayeen daawooyinka cadaadiska dhiigga iyo daawada loo qoro fitamiin D. Hadda waxaan si dhow u eegeynaa daawooyinka ugu badan ee la qoro ee loogu talagalay 2019-iyo in badan oo ka mid ah ayaa is dhaafsanaya, waxaa jira dhowr waxyaalood oo cusub.

Si kastaba ha noqotee, in kastoo, waa waxa liistada daawooyinka hadda ay noo sheegaysaa ku saabsan isticmaalka dawooyinka dhakhtarku qoro ee ku baahsan guddiga oo dhan Maraykanka. Waa maxay sababta daroogooyinka qaarkood loogu qoro badanaa kuwa kale? Caan ka noqoshada daroogada ma fiicantahay mise waa xun tahay? Waa maxay xaaladaha caafimaad ee ugu badan ee ku dhaca dadka Mareykanka ah?

Si aan jawaab ugu helno su'aalahan, waxaan weydiinnay laba dhakhtar inay miisaamaan daawooyinka ugu sarreeya sanadka oo ay wadaagaan fikradahooda ku saabsan isbeddellada. Waa tan waxa ay lahaayeen.

Daawooyinka magaca guud ku jira iyo kuwa guud

Mid kasta oo ka mid ah daawooyinka laguu qoro ee ku jira liiska 2019 waxaa lagu heli karaa qaab guud, taas oo ka dhigeysa iyaga mid raqiis ah oo sahlan in la helo, ayuu yidhi David Cutler, MD, oo ah dhakhtar daawo qoys Xarunta Caafimaadka ee Providence Saint John .

Iyagu ma aha kuwa cusub, xayeysiinta, daroogooyinka lacag-sameynta ah ee aad ka akhriso bogagga hore, ayuu yidhi. Waxay yihiin dawooyinka ku jira qaanadaha dawada ee qof walba.

Maxay tani muhiim u tahay? Marka ugu horeysa, daawooyinka magacyadu waxay kor u qaadaan kharashka bukaan socodka jeebka iyo qarashka bulshada ee caymiska caafimaadka, ayuu yidhi Joshua Septimus, MD, internist at Houston Methodist . Maaddaama daawooyinka guud si ballaaran loo aqbalo inay la mid yihiin kuwa magaca sumadda leh, u weecashada daawooyinka guud waa mid wanaagsan.

Aad ayaan ugu faraxsanahay inaan arko in dhakhaatiirtu ay ka fogaanayaan daawooyinka magaca magac leh maxaa yeelay waxaa jirtay waqti ay dhakhaatiirtu inta badan qorayeen rijeetooyinka kuwa aadka u qaaliga ah, Dr. Septimus ayaa sharxaya. Laakiin hadda daawooyinka sida ballaaran loo qoro waa kuwa guud, waana kuwo raqiis ah oo waxay leeyihiin xog dheer oo ay la socdaan.

Dawooyinka ugu badan ee la qoro maxay noo sheegaan?

Arrin xiiso leh, daawooyinka ugu badan ee loo qoro 2019 waxay ku dhacaan qaybo fara badan oo ka mid ah qaybaha kala duwan: daawooyinka cadaadiska dhiigga, daaweynta tayroodhka, antibiyootikada, iyo daawooyinka ADHD.

Tani macno ayey leedahay, ayuu yiri Dr. Septimus, maadaama dhiig karka iyo hypothyroidism ay yihiin labada cudur ee ugu badan ee dadka waaweyn. Daawooyinka kale? Antibiyootigyada ballaadhan ayaa had iyo jeer caan noqon doona maxaa yeelay dadku had iyo jeer way xanuunsanayaan oo waxay u baahan yihiin daaweyn, liiskana waxaa lagu buuxiyaa maaddooyin faro ku tiris ah oo daawooyin kale ah oo caan ah sida steroids iyo dawooyinka walaaca.

Ma dooneysaa inaad wax badan ka barato daawooyinka ugu badan ee la qoro ee 2019, sida ku cad xogta SingleCare (laga yaabee mid aad qaadato inuu ku jiro liiska!) Ama aad ka heshid daawada ugu badan gobolkaaga sannadkan? Akhriso burburka daroogada.

Waa maxay daawada ugu badan ee la qoro?

• Amlodipine (generic Norvasc) iyo lisinopril (generic Zestril, ama Prinivil)
• Amoxicillin
• Levothyroxine sodium iyo Synthroid
• Amphetamine-dextroamphetamine (generic Adderall)
• Fitamiin D-qoris
• Prednisone
• Alprazolam (guud ahaan Xanax)
• Sildenafil

Amlodipine iyo lisinopril

Badanaa waxaa loo qoraa: Dhiig kar
Daawooyinka ugu badan ee daawada ee: Alaska, Alabama, Arkansas, Connecticut, Delaware, Georgia, Iowa, Illinois, Indiana, Kansas, Kentucky, Louisiana, Massachusetts, Minnesota, Missouri, Mississippi, North Carolina, Nebraska, New Hampshire, New Mexico, Nevada, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Virginia, Vermont, Washington, Wisconsin, West Virginia, Wyoming

Dhiig karka waa xaalad caadi ah oo si fudud loo daweyn karo, waxaana jira faa iidooyin aad u badan oo lagu xakameynayo - oo ay ku jiraan halista dhimista wadnaha iyo istaroogga, sida uu sheegay Dr. Cutler. Taasina maaha sababta kaliya ee meds-ka dhiig karka u jecel yahay amlodipine iyo lisinopril waa kuwo caan ah hadda, sidoo kale.

Heerarka ogaanshaha cudurka ee qeexaya qofka qaba dhiig-karka ayaa hoos loo dhigay, iyadoo dad badan ka dhigeysa nooca laga helo cudurka dhiig karka, ayuu yiri Dr. Cutler.

Wuxuu ula jeedaa a Cusboonaysiinta 2017 tilmaamaha hore loo aasaasay 2003; Kulliyadda Caafimaadka Wadnaha ee Mareykanka iyo Ururka Wadnaha ee Mareykanka ayaa meesha ka saaray qayb ka mid ah dhiig-karka waxayna dib u habeyn ku sameeyeen heerar kale oo lagu kala qaado dhiig-karka. Waxaa lagu qiyaasey in isbeddelkani u kala saari doono dad badan oo badan inay qabaan dhiig kar, gaar ahaan dadka waaweyn ee da'da yar, waxayna u horseedi kartaa faragelin hore.

Ilaa iyo inta ay labadan daroogo tagayaan, Dr. Septimus wuxuu leeyahay labadaba ACE kahortagayaasha (sida lisinopril) iyo kaalshiyamka kanaalka kaaliyayaasha (sida amlodipine) ayaa ah habab la aqbali karo oo lagu daaweeyo dhiig karka, iyadoo amlodipine uu yahay daawo si fudud loo isticmaali karo oo dhinac hoose saamaynta iyo lisinopril waa ikhtiyaar badbaado leh oo loogu talagalay dadka sidoo kale qaba sonkorow ama wadne xanuun.

Amoxicillin

Badanaa waxaa loo qoraa: Caabuqyada bakteeriyada ee dhagta, sanka, iyo cunaha
Dawooyinka ugu badan ee la qoro: California, Washington, D.C., Maryland, New Jersey, Texas

Dr. wicitaanada toddobaad amoxicillin sagxad daaweyn ah oo loogu talagalay infekshannada neef-mareenka, oo ay ku jiraan caabuqyada dhegaha iyo hunguriga, taas oo ka caawisa sharraxaadda sababta ay u noqotay dawada ugu caansan afar gobol sannadkan.

Haddii aad eegto meesha ugu badan ee lagu qoro qoraallada antibiyootikada, waxay ku jirtaa carruurta, maadaama ay u muuqdaan in si joogto ah loola dhaqmo xaaladahaas, ayuu yidhi.

In kasta oo qof waligii waqti la qaatay carruurta ogyahay inay yihiin astaamaha fayrasyada iyo infekshannada, haddana weli waxaa jira walaac ay qabaan dhakhaatiirtu oo ku saabsan heerka daawada antibiyootikada loo qoro-gaar ahaan marka loo isticmaalo daaweynta cudurrada fayraska halkii laga qaadan lahaa kuwa bakteeriyada, taas oo wax ku biirisa ilaa kordhinta heerarka iska caabbinta antibiyootigga.

Waxaa jira dadaalo ballaaran oo socda si loo yareeyo soo-gaadhista aan loo baahnayn ee antibiyootikada iyada oo loo marayo wakiilnimo barnaamijyada, ayuu yidhi Dr. Cutler. Dadku waxay u baahan yihiin in lagu baraarujiyo khataraha ka dhalan kara isticmaalka antibiyootigga xad-dhaafka ah, aan loo baahnayn, iyo waxyeelada.

Levothyroxine sodium iyo Synthroid

Badanaa waxaa loo qoraa: Hypothyroidism
Dawooyinka ugu badan ee la qoro: Arizona, Colorado, Florida, Idaho, Montana, Oregon, Puerto Rico, Virgin Islands

Hypothyroidism, xaalad ah in tayroodhku uu joojiyo sameynta hoormoon ku filan oo lagu xakameeyo shaqooyinka muhiimka ah ee jirka, wuxuu ku dhacaa qiyaas ahaan shan ka mid ah 100kii qof ee Mareykan ah , per Machadka Qaranka ee Sonkorowga iyo Cudurada Dheefshiidka iyo Kelyaha.

Hawlaha tayroodhku hooseeyo badanaa waa xaalad isdifaaca jirka oo aan la ogeyn kicinta ama ka hortagga, Dr. Cutler wuxuu yiri, isagoo intaa ku daray in calaamadaha ay noqon karaan kuwo dahsoon, sida daal ama calool istaag. Dadka qaba hypothyroidism sidoo kale waxay la kulmi karaan wadajir ama murqo xanuun, maqaar qalalan, caadada oo aan caadi ahayn, ama miisaanka oo kordha.

Sodium Levothyroxine waa waxa loo yaqaan bedelka qanjirka 'thyroid', iyo Dr. Septimus wuxuu leeyahay waa caan sababtoo ah runtii ma jiraan dawooyin kale oo beddeli kara hormoonka tayroodhka ee maqan. Nasiib wanaag, wuxuu kaloo yiraahdaa levothyroxine sodium wuxuu leeyahay heer waxtar badan wuxuuna caawiyaa bukaanada badankood ee qaata.

Amphetamine-dextroamphetamine (generic Adderall)

Badanaa waxaa loo qoraa: ADHD
Dawooyinka ugu badan ee daawada laga helo: Michigan, North Dakota, Rhode Island, Utah

Amphetamine-dextroamphetamine waxaa badanaa loo qoraa daaweynta Calaamadaha ADHD , oo ka koobnaan kara isku-buuqsanaanta iyo adkaanta isku-fiirsashada iyo fidnada iyo go'aan qaadashada oo liidata, sida uu sheegay Dr. Septimus. Iyada oo ay weheliso xaqiiqda ah in dad badan laga helo ADHD, oo ay ku jiraan carruurta yaryar , Caannimada dawadan ayaa sii kordheysa maxaa yeelay guud ahaan waxaa loo arkaa mid amaan ah oo wax ku ool ah-waxaana hadda lagu heli karaa qaab guud.

Qaabka saxda ah ee sida amphetamine-dextroamphetamine u caawiso bukaanada (marka laga reebo ka shaqeynta nidaamka dhexe ee neerfayaasha) si buuxda looma fahmin, laakiin sida laga soo xigtay ADDitude Magazine , daroogada ayaa si baaxad leh loo darsay mudo tobanaan sano ah waxayna umuuqataa inaysan sababi doonin walaac weyn oo caafimaad inta badan bukaanada qaata.

Dibedda

Daawooyinka haray ee ku jira liiska 2019 kuma habboona mid ka mid ah qaybaha kor ku xusan, laakiin waxay ahaayeen tirada koowaad ee dawada loogu qoray gobolladooda.

Fitamiin D-qoris

Badanaa waxaa loo qoraa: Faytamiin D yaraanta
Dawooyinka ugu badan ee daawada lagu qoro: New York

Rijeetada fitamiin D. , daawada ugu sareysa New York, waxaa loo isticmaalaa in lagu daaweeyo yaraanta fitamiin D. Laakiin Dr. Septimus wuxuu leeyahay xaqiiqda ah in loo qoray si caadi ah waxay muujineysaa in dhakhaatiirta ay wali si firfircoon u baarayaan fitamiin D, oo ah dhaqan Xoogagga Adeegyada Ka-hortagga ee Mareykanka ayaa ka waaniyay Inta aad qaadanaysid fitamiin D-ga waxaa laga yaabaa inay lagama maarmaan u tahay faro-ku-tiris bukaanno ah (sida kuwa lafo-beelka), waxay u badan tahay in si aan loo baahnayn loo qoro xaalado kale oo badan.

Prednisone

Badanaa waxaa loo qoraa: Caabuq
Dawooyinka ugu badan ee daawada lagu qoro: Maine

Qoritaanka qaababka cudurada neef mareenka sida boronkiitada, oof-wareenka, iyo sinusitis ayaa laga yaabaa inay tahay sababta ugu badan horyaal waxaa laga soo saaray Maine sanadkan. Corticosteroid oo daweeya xaalado kala duwan oo barar iyo isdifaacid, Dr. Septimus ayaa sheegay in dhakhaatiirta qaarkood ay u badan tahay inay ku tiirsan yihiin marka bukaanku ka cabanayo barar, xanuun, ama raaxo la'aan xaalad deg deg ah ama daba dheeraatay. Qaadashada prednisone waxay u horseedi kartaa dhowr waxyeelo , taas oo ka sii daraysa inta aad qaadanayso, markaa way fiicantahay in aan si xad dhaaf ah looga isticmaalin dalka oo dhan.

Alprazolam

Badanaa waxaa loo qoraa: Walaac
Dawooyinka ugu badan ee daawada laga helo: Tennessee

Caawinta degdegga ah ee astaamaha la xiriira weerarada argagaxa ama cabsi-yaraanta, alprazolam sida caadiga ah waxaa loo qoraa si looga caawiyo dadka inay la qabsadaan xaaladaha degdegga ah sida safarka diyaaradda markii aad ka baqayso duulista. Halka Xanax loo qori karo welwel joogto ah , daawooyinka xakameynaya serotonin (SSRIs) ama daawooyinka kale ee ka hortagga walwalka ayaa u badan in la isticmaalo.

Marka laga hadlayo sababta alprazolam (Xanax) u noqon karto mid caan ah, Dr. Septimus wuxuu sheegay inay u shaqeyso si ka dhakhso badan daawooyinka kale ee fasalkeeda, taasoo ka dhigaysa mid ku habboon xaaladaha u baahan in si dhakhso leh wax looga qabto.

[Si kastaba ha noqotee], taasi waxay sidoo kale ka dhigeysaa mid qabatinkeedu aad u sarreeyo, ayuu ka digay. Waa daroogo fiican markii si badbaado leh loo isticmaalo, laakiin si macquul ah.

Sildenafil

Badanaa waxaa loo qoraa: Cilad kacsi
Dawooyinka ugu badan ee daawada lagu qoro: Hawaii

Sildenafil , a.k.a kiniinka cillad la'aanta kacsiga Viagra , ayaa ahaa daroogada ugu sareysa ee loo qoro Hawaii sanadkan. Guud ahaan, khubaradu waxay ogyihiin in sildenafil loo qoro si joogto ah maxaa yeelay waxay ka faa'iideysatay a hoos u dhac weyn oo ku yimid qiimaha sanadkii 2017 markii ay ku soo baxday qaab guud. In kasta oo ay wali si caadi ah u isticmaalaan bukaanada hodanka ah ee leh siyaabaha loo iibsado waxyaabaha aan muhiimka ahayn, daawooyinka madadaalada, qiimaha sicirka ka hooseeya ayaa u ogolaatay bukaanno badan oo leh cillad aan caadi ahayn inay isticmaalaan daaweynta.

Burburka gobol-gobol

Alaska: Lisinopril
Alabama: Amlodipine
Arkansas: Lisinopril
Arizona: Levothyroxine sodium
Kalifoorniya: Amoxicillin
Colorado: soodhada 'Levothyroxine'
Connecticut: Amlodipine
Washington, DC: Amoxicillin
Delaware: Lisinopril
Florida: Levothyroxine sodium
Georgia: Amlodipine
Hawaii: Sildenafil
Iowa: Lisinopril
Idaho: Levothyroxine sodium
Illinois: Lisinopril
Indiana: Lisinopril
Kansas: Lisinopril
Kentucky: Lisinopril
Louisiana: Amlodipine
Massachusetts: Lisinopril
Maryland: Amoxicillin
Maine: Prednisone
Michigan: Amphetamine-dextroamphetamine
Minnesota: Lisinopril
Missouri: Lisinopril
Mississippi: Amlodipine
Montana: Levothyroxine sodium
Waqooyiga Carolina: Lisinopril
North Dakota: Amphetamine-dextroamphetamine
Nebraska: Lisinopril
New Hampshire: Lisinopril
New Jersey: Amoxicillin
New Mexico: Lisinopril
Nevada: Lisinopril
New York: Vitamin D
Ohio: Lisinopril
Oklahoma: Lisinopril
Oregon: Levothyroxine sodium
Pennsylvania: Lisinopril
Puerto Rico: Synthroid (magac-caan ah oo loo yaqaan 'levothyroxine sodium)
Jasiiradda Rhode: Amphetamine-dextroamphetamine
South Carolina: Amlodipine
Koonfurta Dakota: Lisinopril
Tennessee: Alprazolam
Texas: Amoxicillin
Utah: Amphetamine-dextroamphetamine
Virginia: Lisinopril
Jasiiradaha Virgin: Levothyroxine sodium
Vermont: Lisinopril
Washington: Lisinopril
Wisconsin: Lisinopril
West Virginia: Lisinopril
Wyoming: Lisinopril

Macluumaadka dawada dhakhtarku qoro waxay ka tarjumaysaa qoraallada inta badan lagu buuxiyo SingleCare ee 2019, marka laga reebo daawooyinka opioids iyo miisaan lumis.