Waxaan helnay dawooyinka ugu caansan ee laga qoray gobol kasta sanadka 2020

Shirkadda

Jaleecada hore, Alaska iyo New Mexico uma muuqan karaan inay wadaagaan waxyaabo badan. Hase yeeshe, waxay wadaagaan isla daawada loo qoro. Sababta In kasta oo waxyaabo badani is beddeleen 2020, hal shay oo aan ahayn ayaa ah baahida dadku u qabaan daawooyinka laguu qoro.

Sannadka oo dhan, SingleCare waxay sii waday inay bixiso qiimo-dhimis ku saabsan rijeetooyinka ay dadku u baahan yihiin, haddii ay ahaan lahayd xasaasiyadda xilliyeed ee meelaha aadka xasaasiyadda u leh ama daawooyinka wadnaha ee xaaladaha daba dheeraada. Baarayaasha SingleCare waxay falanqeeyeen xogtayada daawada ee 2020 waxayna ka heleen dawada ugu buuxsan gobol kasta.

Marka waa maxay daawada ugu caansan meesha aad ku nooshahay? Iyo sababtu? Akhriso si aad u ogaato.

Inta badan dawooyinka dhakhtarku qoro ee gobolka:

1. Lisinopril (Prinivil / Zestril)
2. Vitamin D
3. Levothyroxine sodium (Synthroid)
4. Amoxicillin (Amoxil)
5. Amlodipine besylate (Norvasc)
6. Ibuprofen (Motrin)
7. Amphetamine / dextroamphetamine (Adderall)
8. Alprazolam (Xanax)

U gudub burburka gobol-gobol-gobol

1. Lisinopril (Prinivil)

Dawooyinka ugu badan ee lagu qoro Alaska, Arkansas, Delaware, Iowa, Idaho, Illinois, Massachusetts, Minnesota, Missouri, Montana, North Carolina, Nebraska, New Hampshire, New Mexico, Nevada, Ohio, Oklahoma, Oregon, Texas, Virginia, Vermont, Washington , Wyoming

Hel kuubbo lisinopril

Lisinopril waa daawo daaweyneysa dhiig karka (dhiig kar) - xaalad caadi ah oo ka jirta Mareykanka Ku dhowaad kala bar dadka waaweyn oo dhan ayaa la nool, sida laga soo xigtay Xarumaha Mareykanka ee Xakamaynta iyo Kahortagga Cudurrada (CDC). Waxaana jira caddayn aan caadi ahayn in Cudurka faafa ee COVID-19 (iyo walbahaarka uu keenayo) uu sii wado lambarradaas xitaa kuwa ka sii sarreeya. Taasi waa dad badan oo u baahan kara daawada lisinopril, oo sharxi karta qayb ka mid ah sababta ay tahaydaawada ugu caansan ee isticmaalayaasha SingleCare ku dhowaad kalabar 50 gobol.

Daawooyinka sida lisinopril (ACE inhibitor) waxay dabciyaan xididdada dhiigga waxayna ka hortagaan cidhiidhiga, taasoo u sahlaysa wadnaha inuu dhiig ku shubo xididdadaada. Sababtoo ah lisinopril waa mid guud, qaali ah, oo wax ku ool ah, waxaa si ballaadhan loogu qoray in ka badan 20 sano.

Intaa waxaa sii dheer, lisinopril wuxuu leeyahay faa'iidooyin muhiim ah hoos u dhaca horumarka cudurka kelyaha, gaar ahaan kuwa sonkorowga qaba, ayaa leh Barry Gorlitsky ,MD,nephrologist iyoqoraaga barta 'KidneyAide'. Waxay sidoo kale yareyneysaa culeyska wadnaha, waxay yareysaa dhimashada kuwa qaba cudurka wadnaha, waxayna hagaajineysaa shaqada wadnaha. Waa safka ugu horreeya ee lidka-dhiig-karka lagula taliyay bukaannada yar iyo weynba, oo lagu taliyay bulshooyin badan oo caafimaad , oo ay ka mid yihiinUrurka Wadnaha Mareykanka.

Sababahan oo dhan, lisinopril waa boqor, Dr. Gorlitsky ayaa leh.

XIDHIIDHKA: Daawooyinka iyo cadaadiska dhiig karka

laba. Vitamin D

Inta badan daawada lagu qoro gudaha Alabama, Kentucky, New York, West Virginia

Qaado boondhiga fitamiin D

Waxaad si dabiici ah u liqdaa fiitamiin D-ga markaad qorraxda waqti ku qaadanaysid, sidoo kalena waa ku jirtaa in badan oo ka mid ah cuntooyinka aad cuntid . Laakiin meelaha qaarkood oo leh qorrax yar ama helitaanka wax soo saar cusub, heerarka fiitamiin D si dhakhso leh ayuu uga hoos mari karaa sida caadiga ah. Micnaha, waxay ku noqon kartaa quudka armaajadaada daawada.

Faytamiin D yaraanta waa wax caadi ah, waana jirtay ku xidhan niyad-jabka, cilladda daalka joogtada ah, buurnida, sonkorowga, dhiig-karka, fibromyalgia, iyo lafo-beelka, iyo waxyaabo kale. Qaarna, kaabis miiska lagu iibsado ayaa kufilan. Qiyaasta sare, waxaad u baahan kartaa dawo qoro.

Faytamiin D waxaa badanaa loo qoraa dadka qaba cillad la aasaasay iyo / ama qayb ka mid ah qorshaha daaweynta si looga hortago ama loo yareeyo horumarka lafo-beelka, Dr. Emmel ayaa sharxaya. Badanaa waxaa loo qoraa bukaanada waaweyn, taas oo sharxi karta sababta ay ugu sarreyso liiska West Virginia, oo leh 3aad dadka ugu badan ee waayeelka ah dalka gudihiisa.

Iyadoo Vitamin D yaraanta sida caadiga ah lala xiriirinayo qorraxda oo aan ku filnayn, Dr. Emmel wuxuu sheegay inaysan layaab aheyn inay ku jirto liiska ugu caansan ee New York, marka la eego cimilada. Wuxuu waxyar ka wareersanaa gobollada kale ee liiskan ku jira, laakiin ka fiirsashada fitamiin D-da ayaa ahayd warqadda lagu qoro liiska ugu sarreysa gobollada badankood. sanadkii la soo dhaafay, waxaa jiray hoos u dhac muuqda oo caan ah sanadka 2020. Waxaa laga yaabaa in taasi ay la macno tahay in dad badan ay ka firfircoonaayeen banaanka sanadkan maadaama talaabooyinka quful-ka ay ka ilaalinayaan goobaha kale ee bulshada.

XIDHIIDHKA: Immisa fiitamiin D ah ayaan qaataa?

3. Levothyroxine sodium (Synthroid)

Inta badan daawada lagu qoro gudaha Arizona, Colorado

Qaado kuubbo sodium levothyroxine ah

Levothyroxine wuxuu ka caawiyaa inuu keeno heerarka hoormoonka tayroodhka si caadi ah loogu soo celiyo dadka qaba tayroodh aan firfircooneyn (sidoo kale loo yaqaan hypothyroidism). Waa dhibaato caafimaad oo caadi ah Mareykanka, saameyn ku yeelata 100kii qofba 5 ka mid ah guud ahaan dalka.

Calaamadaha waxaa ka mid ah daal, miisaanka oo kordha, calool istaag, u nuglaansho qabow, timo khafiif ah, iyo niyad jab. Xaaladdu waxay ku imaan kartaa si dabiici ah (mararka qaarkoodna waxay keentaa gabow). Sidoo kale waxaa sababi kara dhaawac (sida virus ama shucaac) ama, ka saarida qanjirka thyroid. Hypothyroidism waxaa caadi ahaan lagu ogaadaa marka shaqada dhiigga ay muujiso wax ka hooseeya heerarka tayroodh ee caadiga ah.

Muxuu levothyroxine caan ugu yahay Arizona iyo Colorado? Xaaladdan ayaa aad ugu badan dumarka iyo dadka ka weyn da'da 60 jir, sidaa darteed waxaa laga yaabaa in tirakoobka dadka ee gobolladaas ay sharraxaan taas, ayuu yiri Dr. Emmel. (Arizona waxay, dhab ahaan, leedahay boqolkiiba sare dumarka raga , iyo waliba darajooyin sare dadka da'da ah - laakiin Colorado waa loo yaqaan midkoodna.) Waa wax aad u caadi ah sidaa darteed layaab ma leh in la arko daawadan oo ku dhow meesha ugu sarreysa ee daawooyinka la isticmaalo.

Levothyroxine sidoo kale mararka qaarkood waxaa loo isticmaalaa in lagu daaweeyo cudurada kale ee tayroodhka, sida kansarka tayroodhka.

XIDHIIDHKA: 5 isdhexgalka daawada tayroodhka

4. Amoxicillin (Amoxil)

Inta badan daawada lagu qoro gudaha Kaalifoorniya

Soo qaado kuubbo amoxicillin ah

Waxaad u badan tahay inaad horey u maqashay amoxicillin kahor-waa mid kamid ah antibiyootikada ugu caansan ee lagu qoro fasalka penicillin. Waxaa loo isticmaalaa in lagu daaweeyo infekshannada bakteeriyada, Dr. Emmel ayaa leh. Marka si sax ah loo isticmaalo, waxay noqon kartaa hub xoog leh oo looga hortago cudurrada sida dhuunta cuncunka, infekshanka dhegaha ee bakteeriyada, oof-wareenka bakteeriyada, iyo infekshannada neef-mareenka.

Nasiib darrose, [sidoo kale] waxaa badanaa loo isticmaalaa in lagu daaweeyo cudurrada laga yaabo in ay sababaan fayrasyada, Dr. Emmel ayaa leh. Iyo sababta oo ah amoxicillin ma daaweyso infekshannada fayraska, taasi waxay ka dhigan tahay in si ka badan loo qoray.

Mid ka mid ah seddexdii dawo ee dawooyinka antibiyootigga ah mid ka mid ah looma baahna, sida ay sheegtay CDC . Isticmaalka xad dhaafka ah ee daawooyinkan ayaa kuu horseedi kara iska caabinta antimicrobial , xaalad dhacda markay bakteeriyadu iyo fayrasyadu ka jawaabi waayaan daawooyinka, taasoo ka dhigaysa infekshannadaas ay adag tahay in la daweeyo oo ay aad khatar u tahay.

Laakiin, ka warqabkeeda ayaa sii kordhaya sannadihii la soo dhaafay. Xaqiiqda ah in amoxicillin uu ahaa Rx-ka ugu caansan toddobo gobol oo ku yaal 2019, laakiin mid keliya ayaa sannadkan noqon karta calaamad muujinaysa in dhakhaatiirtu ay u qorayaan si ka xorriyad yar sidii ay hore u lahaayeen.

XIDHIIDHKA: Maxaa dhacaya haddii aadan dhammeynin antibiyootikada?

5. Amlodipine besylate (Norvasc)

Inta badan daawada lagu qoro gudaha Connecticut, Louisiana, Mississippi, New Jersey

Soo qaado kuubbo amlodipine ah

Xubin ka ahaanshaha daawooyinka loo yaqaan 'calcium channel blockers' (CCB), amlodipine besylate wuxuu daweeyaa dhiig kar (hypertension) iyo angina (xanuun daran oo xabadka ah oo ka dhasha hoos u dhigida dhiiga wadnaha).

Waa daawo badbaado yar oo aad qaali u ah, Dr. Emmel ayaa leh. Inta badan sida lisinopril, isku darka isticmaalka xaalad caadi ah, iyo qiimahiisa hooseeya, ayaa horseedaya adeegsi aad u sarreeya.

Cadaadiska dhiig karka wuxuu kuxiranyahay halista sii kordheysa ee istaroogyada, wadna qabadka, iyo dhibaatooyinka kalyaha, dhamaan daawooyinka kujira fasalka CCB waxay caawiyaan kahortaga. Intaa waxaa sii dheer, lisinopril wuxuu ku jiray wararka sanadkaan a halista ka imaan karta dhibaatooyinka marka uu ku dhaco COVID-19. In kasta oo cilmi-baaristu ahayd mid aan dhammaystirnayn, iyo dhakhaatiirta ayaa kula taliyay bukaanka sii wadida qaadashada dawadooda ACE, walaacani waxaa laga yaabaa inuu horseeday sare u kac ku yimaada caan ka qaadashada dawooyinka kale - sida amlodipine-ee gobolada uu aad ugu dhaco viruska, sida Louisiana iyo New Jersey.

Sababaha hal daawo loogu qori karo mid kale ayaa ku kala duwan. Lisinopril waa daaweynta ugu fiican ee ugu horeysa ee dhiig karka haddii bukaanku leeyahay sonkorow, wadne xanuun, iyo wadno xanuun hore, sida uu sheegayo Dr. Emmel. Dhanka kale, amlodipine wuxuu kaloo caawiyaa daaweynta angina (inta badan waxaa sababa xididdada halbowlayaasha wadnaha), taasoo ka dhigeysa daawada ay u badan tahay in la qoro haddii bukaan la halgamayo taas. Waxaa suurtagal ah in gobollada ay amlodipine-ka ugu caansan uu ku badan yahay cudurka angina.

XIDHIIDHKA: Waa maxay heerarka dhiig karka caadiga ah?

6. Ibuprofen (Motrin)

Inta badan daawada lagu qoro gudaha Florida, Georgia, Hawaii, Maryland

Hel kuubbo ibuprofen

Dadka badankood waxay gaareen ibuprofen waqti ka mid ah noloshooda. Dawadan anti-bararka ee nonsteroidal (NSAID) waxay caawisaa yareynta xanuunka iyo caabuqa. Waxay daaweyneysaa madax xanuun, murqo xanuun, qandho, iyo barar wadajir ah, iyo sidoo kale xaalado kale oo kala duwan. Waxaa laga iibsan karaa miiska qaddarka hoose.

Qiyaaso adag oo ibuprofen ah ayaa loo qori karaa bukaanada la kulma xaaladaha xanuunka daba dheeraada, sida arthritis iyo endometriosis.Ibuprofen 400 mg, 600 mg, iyo 800 mg waa xoojinta daawada. Dhakhaatiirtu waxay noqon karaan u qoro tan badanaa si looga hortago isticmaalka opioid, ayay tiri Joanna Lewis, Pharm.D., Aasaasihii Tilmaamaha Farmashiistaha .

Florida ayaa ah tan labaad ee ugu badan muwaadiniinta waayeelka ah, Hawaii waxay ku jirtaa kaalinta 7-aad ee liiskaas-taas oo sharxi karta kor u kaca ku jira dawadan ee goboladaas.

Sida anti-bararka, Dr. Lewis wuxuu sheegay in ibuprofen uu waxtar u yeelan karo xanuunno badan oo kala duwan, isagoo xusay inay sidoo kale tahay dawo caadi ah oo la siiyo dadka dhalmada ka dib.

XIDHIIDHKA: Qiyaasta Ibuprofen

7. Amphetamine / dextroamphetamine (Adderall)

Inta badan daawada lagu qoro gudaha Indiana, Kansas, Maine, Michigan, North Dakota, Pennsylvania, Rhode Island, South Carolina, South Dakota, Utah, Wisconsin

Qaado kuubboonka amphetamine / dextroamphetamine

Amphetamine / dextroamphetamine waa daawo kiciya oo loo isticmaalo in lagu daaweeyo khalkhalka feejignaanta maqnaanshaha (ADHD). Waxaa badanaa loo isticmaalaa carruurta da'da iskuulka ku jirta iyo dhalinyarada qaangaarka ah, sidaa darteed tirakoobka dadka ayaa runtii sharxi doona kala duwanaanshaha isticmaalka ee gobollada oo dhan, Dr. Emmel ayaa soo jeedinaya. Dhab ahaan, Indiana iyo South Carolina waxay ka mid yihiin shanta gobol ee ugu sareysa ogaanshaha cudurka ADHD. Oo kulligood, laakiin Koonfurta Dakota iyo Utah waxay leeyihiin heerar aad u sarreeya oo cudurka ADHD ah, sida laga soo xigtay CDC .

Daawada waxaa loo maleynayaa inay yareyneyso degenaanshaha ayna hagaajineyso feejignaanta. Waa kan ugu guuleysiga badan marka loo isticmaalo qayb ka mid ah qorshe daaweyn dhameystiran oo ka kooban daweyno kala duwan.

SidaNidaamka neerfaha ee kiciya,amphetamine / dextroamphetamine sidoo kale way daaweyn kartaa narcolepsy-oo ah cillad hurdo oo lagu calaamadeeyay dhacdooyin daba-dheeraaday oo daal maalinnimo ah iyo hurdo lama filaan ah oo lama huraan ah).

XIDHIIDHKA: Daaweynta ADHD iyo daawooyinka

8. Alprazolam (Xanax)

Inta badan daawada lagu qoro gudaha Tennessee

Hel kuubbo alprazolam ah

Bishii Abriil, warbixinnadu waxay bilaabeen inay wareegaan in dawooyinka ka hortagga walwalka, sida alprazolam, ay ku sii kordhayaan caan ahaanta— kor 34% . Laga yaabee inaysan layaab lahayn markaa, in dawadani ay gaadhay meesha ugu sarraysa liiska hal gobol sannadkan. Gaar ahaan Tennessee, oo ku jirta sida gobolka leh heerarka ugu sarreeya ee niyad-jabka horaantii sanadkan.

Xubin ka tirsan fasalka dawooyinka ee loo yaqaan 'benzodiazepines', alprazolam wuxuu ku shaqeeyaa firfircoonida kiimikooyinka dabiiciga ah ee horeyba ugu jiray jirka si uu u keeno saameyn xasilloonida nidaamka neerfaha ee dhexe.
Sida dawooyinka ladagaalanka walwalka badankood, dhibaatooyinka soo raaca ee alprazolam ayaa badanaa la dareemaa marka ugu horeysa ee daawada la bilaabo iyo goorta la baxayo. Calaamadaha la bixitaanka waxaa lagu arki karaa markii la joojinayo turkiga qabow ee 'alprazolam'. Sababtaas awgeed, bukaanku waa inay la shaqeeyaan dhakhaatiirtooda si ay hoos ugu dhigaan qaddarkooda si tartiib tartiib ah haddii ay go'aansadaan inay joojiyaan qaadashada daawadan.

XIDHIIDHKA: 62% dadka Mareykanka ah waxay la kulmaan walaac, sida lagu sheegay sahan cusub

Inta badan dawooyinka loo qoro gobol kasta

1. Alaska: Lisinopril
2. Alabama: Vitamin D
3. Arkansas: Lisinopril
4. Arizona: Sodium Levothyroxine
5. Kaalifoorniya: Amoxicillin
6. Colorado: Sodium Levothyroxine
7. Connecticut: Amlodipine beylate
8. Delaware: Lisinopril
9. Florida: Ibuprofen
10. Georgia: Ibuprofen
11. Hawaii: Ibuprofen
12. Iowa: Lisinopril
13. Idaho: Lisinopril
14. Illinois: Lisinopril
15. Indiana: Amphetamine / dextroamphetamine
16. Kansas: Amphetamine / dextroamphetamine
17. Kentucky: Vitamin D
18. Louisiana: Amlodipine beylate
19. Massachusetts: Lisinopril
20. Maryland: Ibuprofen
21. Maine: Amphetamine / dextroamphetamine
22. Michigan: Amphetamine / dextroamphetamine
23. Minnesota: Lisinopril
24. Missouri: Lisinopril
25. Mississippi: Amlodipine beylate
26. Montana: Lisinopril
27. Waqooyiga Carolina: Lisinopril
28. Waqooyiga Dakota: Amphetamine / dextroamphetamine
29. Nebraska: Lisinopril
30. New Hampshire: Lisinopril
31. New Jersey: Amlodipine beylate
32. New Mexico: Lisinopril
33. Nevada: Lisinopril
34. New York: Vitamin D
35. Ohio: Lisinopril
36. Oklahoma: Lisinopril
37. Oregon: Lisinopril
38. Pennsylvania: Amphetamine / dextroamphetamine
39. Jasiiradda Rhode: Amphetamine / dextroamphetamine
40. South Carolina: Amphetamine / dextroamphetamine
41. Koonfurta Dakota: Amphetamine / dextroamphetamine
42. Tennessee: Alprazolam
43. Texas: Lisinopril
44. Utah: Amphetamine / dextroamphetamine
45. Virginia: Lisinopril
46. Vermont: Lisinopril
47. Washington: Lisinopril
48. Wisconsin: Amphetamine / dextroamphetamine
49. Galbeedka Virginia: Vitamin D
50. Wyoming: Lisinopril

Macluumaadka dawooyinka dhakhtarku qoro waxay ka tarjumayaan qoraallada inta badan laga buuxiyo SingleCare laga bilaabo Janaayo 1, 2020 illaa Oktoobar 31, 2020, marka laga reebo daawooyinka opioids iyo miisaan lumis.