Paxil iyo Zoloft: Kala duwanaanshaha, isku ekaanshaha, iyo yaa adiga kuu fiican
Daroogada Vs. SaaxiibDulmarka daroogada & kala duwanaanshaha ugu weyn | Xaaladaha la daweeyay | Wax ku oolnimada | Caymiska caymiska iyo isbarbardhiga qiimaha | Dhibaatooyinka ay keento | Isdhexgalka daroogada | Digniinta | Su'aalaha
Paxil (paroxetine) iyo Zoloft (sertraline) waa SSRIs (xulashada serotonin reuptake inhibitors) kuwaas oo loogu talagalay daaweynta niyadjabka iyo xaaladaha kale ee nafsiga ah. SSRI wuxuu ku shaqeeyaa kordhinta heerarka serotonin ee maskaxda, kaas oo ka caawiya hagaajinta astaamaha. Labada daawo ee dhakhtar qoro waxaa ansixiyay Maamulka Cuntada iyo Dawooyinka (FDA). Daawooyinka kale ee ku jira fasalka SSRI waa Prozac (fluoxetine), Celexa (citalopram), iyo Lexapro (escitalopram). In kasta oo Paxil iyo Zoloft ay lamid yihiin, waxay ku kala duwan yihiin calaamadaha iyo sidoo kale qiimaha.
Maxay ku kala duwan yihiin Paxil iyo Zoloft?
Paxil iyo Zoloft waa daawooyin SSRI (xulasho serotonin reuptake inhibitor). Labada daroogoba waxaa lagu heli karaa nooc iyo astaan guud. Magaca guud ee Paxil waa paroxetine, magaca guud ee Zoloft waa sertraline. In kasta oo qiyaasta ay ku kala duwan tahay, qiyaasta caadiga ah ee Paxil waa 20 mg maalin kasta, iyo qiyaasta caadiga ah ee loo yaqaan 'Zoloft' waa 50 mg maalin kasta. Paxil waxaa lagu heli karaa qaab kiniin ah, iyo sidoo kale kiniinno sii-daayay, iyo ganaax. Zoloft waxaa lagu heli karaa kiniinno iyo xal.
| Farqiga ugu weyn ee u dhexeeya Paxil iyo Zoloft | ||
|---|---|---|
| Paxil | Zoloft | |
| Fasalka daroogada | Xakamaynta serotonin xulashada (SSRI) | Xakamaynta serotonin xulashada (SSRI) |
| Summad / astaan guud | Nooc iyo astaan guud | Nooc iyo astaan guud |
| Waa maxay magaca guud? | Paroxetine | Sertraline |
| Noocyada noocee ah ayuu daroogadu ku yimaadaa? | Kiniiniyada Kiniiniyada sii-deynta ah ee Hakinta | Kiniiniyada Xalka |
| Waa maxay qiyaasta caadiga ah? | 10-60 mg maalin kasta, iyadoo kuxiran calaamadaha iyo jawaab celinta daaweynta | 50-200 mg maalin kasta, iyadoo kuxiran calaamadaha iyo jawaabta daaweynta |
| Muddo intee le'eg ayaa daaweynta caadiga ah? | Muddo-dheer, waxay kuxirantahay tilmaamaha dhakhtarkaaga | Muddo-dheer, waxay kuxirantahay tilmaamaha dhakhtarkaaga |
| Ayaa si caadi ah u isticmaala daawada? | Dadka waaweyn; off-sumadda carruurta jirta toddobo sano iyo ka weyn | Dadka waaweyn, carruurta jirta lix sano iyo wixii ka weyn |
Ma dooneysaa qiimaha ugu fiican Paxil?
Isku qor digniinta qiimaha Paxil oo ogow goorta sicirka isbeddelo!
Hel digniinta qiimaha
Xaaladaha ay daweeyeen Paxil iyo Zoloft
Paxil iyo Zoloft labadaba waxaa lagu muujiyey jirrooyinka weyn ee niyadjabka. Paxil waxaa sidoo kale lagu muujiyaa jahwareer-qasab ah, jahwareer, jahwareer bulsheed, iyo jahwareer. In kasta oo Zoloft aan lagu tilmaamaynin xaaladahaas kale, dhakhaatiir badan ayaa u qoro calaamadda ka baxsan si loogu daweeyo xaaladahaas.
| Xaaladda | Paxil | Zoloft |
| Cudurka weyn ee niyadjabka (MDD) | Haa | Haa |
| Cilad qasab ah oo qasab ah (OCD) | Haa | Maaha |
| Ciladda argagaxa | Haa | Maaha |
| Cilladaha walaaca bulshada | Haa | Maaha |
| Cilad-werwer guud | Haa | Maaha |
Paxil ama Zoloft waxtar badan ma leeyihiin?
In la kala soocay, laba-indhoole barasho isbarbardhiga labada daawo ee daaweynta xanuunka argagaxa, Paxil iyo Zoloft waxaa la ogaaday inay si isku mid ah waxtar u leeyihiin; si kastaba ha noqotee, Zoloft xoogaa waa loo dulqaatay, bukaannaduna way fiicnaadeen markay joojinayaan daroogada.
In kale loo kala soocay, daraasad laba-indhoole ah ee Paxil iyo Zoloft muddo 24 toddobaad ah, labada daawooyinba waxay si isku mid ah waxtar ugu yeesheen hagaajinta tayada dhibcaha nolosha ee bukaannada qaba cudurka weyn ee niyadjabka. Paxil iyo Zoloft sidoo kale si fiican ayaa loo dulqaatay, iyadoo bukaannada Zoloft ay leeyihiin waxyeellooyin yar.
Midkale barasho wuxuu eegay Paxil iyo Zoloft, iyo sidoo kale Prozac, bukaanada qaba niyad jab weyn iyo heerar sare oo walwal (niyad jab walaac leh) waxayna ka heleen dhamaan seddexda daroogo inay si isku mid ah waxtar u leeyihiin oo loo dulqaatay.
Daawada ugu waxtarka badan ee adiga lagaa helo kaliya waxaa go'aamin kara bixiyahaaga daryeelka caafimaadka kaas oo tixgelin kara xaaladaada (yadaada) caafimaad, taariikhdaada, iyo daawooyinka kale ee aad qaadanaysid ee la falgeli kara Paxil ama Zoloft.
Ma dooneysaa qiimaha ugu fiican Zoloft?
Isu qor digniinta qiimaha Zoloft oo ogow goorta sicirka isbeddelo!
Hel digniinta qiimaha
Daboolida iyo qiimaha isbarbar dhiga Paxil iyo Zoloft
Generic Paxil (paroxetine) iyo generic Zoloft (sertraline) ayaa badanaa lagu daboolaa caymiska badankood iyo sidoo kale Medicare Qaybta D. Caymis la'aan, bixinta 30 maalmood ee magaca sumcadda ah Paxil waxay ku kacaysaa qiyaastii $ 25, iyo bixinta 30-maalmood ee Zoloft qiimihiisu waa $ 35. Caymiska iyo Medicare Qaybta D lacag bixinta ayaa ku kala duwan qorshaha. Xulashada noocyada guud ee daawooyinkan waxay keydineysaa lacag aad u badan. Waxaad ku bixin kartaa $ 4- $ 25 paroxetine iyo qiyaastii $ 7-17 loogu talagalay sertraline hcl.
| Paxil | Zoloft | |
| Caadi ahaan caymiska ayaa daboolaya? | Haa (guud) | Haa (guud) |
| Caadi ahaan waxaa daboola Medicare Qaybta D? | Haa (guud) | Haa (guud) |
| Qiyaasta caadiga ah | # 30, kiniiniyada 20 mg (guud) | # 30, kiniiniyada 50 mg (guud) |
| Caadiga ah Medicare Qeybta D | $ 0-15 | $ 0-12 |
| Qiimaha SingleCare | $ 4-25 | $ 7-17 |
Dhibaatooyinka guud ee Paxil iyo Zoloft
Kuwa ugu badan waxyeelo xun Paxil waa lallabbo, lulmo, madax xanuun, af qalalan, iyo daciifnimo. Saamaynta xun ee ugu badan ee Zoloft waa lallabbo, af qalalan, shuban, iyo hurdo la'aan. Labada daroogoba waxay leeyihiin liis isku mid ah oo ah dhibaatooyinka soo raaca, sida hoos ka muuqata, iyadoo boqolleyda kaladuwan ee bukaanjiifka ay la kulmaan dhibaatooyinkaas soo raaca.
La tasho daryeel caafimaad bixiyahaaga si aad u hesho liistada dhameystiran ee waxyeelooyinka.
| Paxil | Zoloft | |||
| Saamaynta Side | Ma khuseysaa? | Joogtaynta | Ma khuseysaa? | Joogtaynta |
| Hurdo | Haa | 2. 3% | Haa | 13% |
| Lallabbo | Haa | 26% | Haa | 26% |
| Madax xanuun | Haa | 18% | Haa | laba% |
| Tabar darrida | Haa | shan iyo toban% | Haa | % lama siinin |
| Dhidid | Haa | kow iyo toban% | Haa | 8% |
| Af qalalan | Haa | 18% | Haa | 16% |
| Calool fadhiga | Haa | 14% | Haa | 8% |
| Shuban | Haa | 12% | Haa | 18% |
| Dawakhaad | Haa | 13% | Haa | 12% |
| Hurdo la'aan | Haa | 13% | Haa | 16% |
| Gariir | Haa | 8% | Haa | kow iyo toban% |
| Dareen | Haa | 5% | Haa | % lama siinin |
| Hoos u dhaca libido | Haa | 3% | Haa | 1% |
| Cudurka kaadi-mareenka | Haa | 13% | Haa | 7% |
| Aragga oo xumaaday | Haa | 4% | Maaha | - |
Xigasho: DailyMed (Paxil) , DailyMed (Zoloft)
Isdhexgalka daroogada ee Paxil iyo Zoloft
MAO inhibitors (monoamine oxidase inhibitor antidepressants) oo lagu daro Paxil ama Zoloft waxay noqon karaan kuwo aad khatar u ah oo suuragal ah inay dhintaan Isticmaalka MAO ka hortagayaasha waa in laga soocaa SSRIs 14 maalmood. Isticmaalka Paxil ama Zoloft oo ay weheliso daawooyin kale oo kordhiya serotonin, iyo sidoo kale kuwa kale ee SSRIs, SNRIs, ama tricyclic antidepressants ayaa kordhin kara halista serotonin syndrome. Aspirin iyo NSAID-yada kale looma isticmaali karo Paxil ama Zoloft maadaama ay kordhin karaan halista dhiigbaxa. Daawooyin kale oo badan ayaa laga yaabaa inay la falgalaan Paxil ama Zoloft. Liis dhameystiran la tasho daryeel caafimaad bixiyahaaga.
| Daroogada | Fasalka Daroogada | Paxil | Zoloft |
| Eldepryl (selegiline) Azilect (rasagiline) Nardil (phenelzine) Parnate (tranylcypromine) | MAOI | Haa | Haa |
| Tryptophan | Aamino acid | Haa | Haa |
| Orap (pimozide) | Daaweynta maskaxda | Haa | Haa |
| Triptans (daawooyinka xanuunka dhanjafka) Lithium Fentanyl Ultram (tramadol) John's Wort | Daawooyinka kordhiya serotonin | Haa | Haa |
| Prozac (fluoxetine) Celexa (citalopram) Lexapro (escitalopram) Luvox (fluvoxamine) Viibryd (vilazodone) | SSRIs | Haa | Haa |
| Cymbalta (duloxetine) Effexor (venlafaxine) Pristiq (desvenlafaxine) | SNRIs (serotonin iyo norepinephrine reuptake inhibitors) | Haa | Haa |
| Mellaril (thioridazine) | Daaweynta maskaxda | Haa | Haa |
| Coumadin (warfarin) | Anticoagulant | Haa | Haa |
| Elavil (amitriptyline) Pamelor (nortriptyline) | Dawooyinka lidka ku ah diiqadaha ee loo yaqaan 'Tricyclic antidepressants' | Haa | Haa |
| Aspirin Aleve (naproxen) Motrin, Advil (ibuprofen) | NSAID (daawooyinka anti-bararka ee non-steroidal) | Haa | Haa |
| Theophylline | Methylxanthine | Haa | Maaha |
| Dilantin (fenytoin) Phenobarbital | Anticonvulsants | Haa | Haa |
Digniinta Paxil iyo Zoloft
Dhammaan dawooyinka lidka ku ah diiqadda, oo ay ku jiraan Paxil iyo Zoloft, waxay la yimaadaan digniinta sanduuqa, taas oo ah digniinta ugu xooggan ee ay u baahan tahay FDA. Dawooyinka lidka ku ah diiqadda waxay kordhiyaan halista fikradaha isdilka iyo dabeecadaha carruurta, dhalinyarada, iyo dhalinyarada. Niyad jab iyo xanuuno kale oo nafsi ah ayaa sidoo kale kordhiya halista ismiidaaminta.
Bukaannada da 'kasta oo qaata daawada murugada waa in si dhow loola socdaa calaamadaha isbeddelada dabeecadda, iyo isdilka, gaar ahaan inta lagu jiro bilaha ugu horreeya ee daaweynta iyo haddii isbeddello kasta oo qiyaasta daawada ah ay dhacaan. Qoysaska iyo daryeel-bixiyeyaashu waa inay sidoo kale kormeeraan bukaanka, oo ay u sheegaan qoraaga wixii arrimo ah.
Intaa waxaa sii dheer, waxaa jira digniino kale oo la yimaada Paxil iyo Zoloft labadaba:
- Kahor daaweynta bilaabmin, bukaanku waa in laga baaraa cudurka laba-cirifoodka. Bukaannada qaba laba-cirifoodka waxaa laga yaabaa inay marka hore yeeshaan xaalad murugo leh. Paxil ama Zoloft uma shaqeyn doonaan cudurka laba-cirifoodka, waxaana laga yaabaa inay dhab ahaan uga sii daraan cudurka laba-cirifoodka.
- Horumarinta xaalad halis ah, oo nolosha halis gelin karta oo loo yaqaan cilladda serotonin ayaa ku dhacday daawada lidka ku ah diiqadda ee SSRI. Calaamadaha cudurka serotonin syndrome waxaa ka mid ah kacsiga, mala-awaalka, garaaca wadnaha oo degdega, dawakhaad, dhidid, flushing, isbedbeddelka cadaadiska dhiigga, gariir, qallooca, qalalaasaha, lallabbo, matag, ama shuban.
- Khatarta cudurka serotonin syndrome waxay sii kordheysaa markii daawooyinka kale lala qaato Paxil ama Zoloft oo waliba kordhiya serotonin, sidatriptans, daawada murugada ee tricyclic, fentanyl, lithium, tramadol, buspirone, tryptophan, amphetamines, and St. John’s Wort.
- Isku darka Paxil ama Zoloft oo leh MAOI (monoamine oxidase inhibitor) waa khatar waana la diiday. Tusaalooyinka MAOI waxaa ka mid ah Eldepryl (selegiline), Azilect (rasagiline), Nardil (phenelzine), iyo Parnate (tranylcypromine). Waa inay jirtaa kala soocid 14 maalmood ah oo u dhexeeya isticmaalka MAOI iyo SSRI.
- Paxil ama Zoloft looma isticmaali karo Mellaril (thioridazine); isku darka wuxuu sababi karaa xuubka wadnaha oo sababa dhimasho lama filaan ah.
- Si taxaddar leh ugu adeegso bukaannada qaba qalal.
- Marka Paxil ama Zoloft la joojiyo, daawada waa in si tartiib tartiib ah loo dhejiyaa oo aan si lama filaan ah loo joojin, si looga fogaado astaamaha ka bixitaanka.
- Hyponatremia (sodium ku yar dhiigga) ayaa dhici kara, sababtoo ah SIADH (cilladdheecaanka hoormoonka lidka ku ah dheecaanka jirka). Bukaannada qaata daawada lagu durayo ama kuwa fuuqbaxay waxay ku jiraan khatar sare.
- Daawooyinka SSRI waxay kordhin karaan halista dhiigbaxa guud ahaanna looma isticmaali karo asbiriin ama NSAIDs kale sida ibuprofen ama naproxen, ama dhiig khafiifiyayaal ah sida Coumadin (warfarin).
- La soco halista jabka lafaha.
- Paxil ama Zoloft waxay sababi karaan faafitaanka ardayda waxayna ku kicin karaan weerar xagal-xiritaan ah bukaanada leh xaglo ciriiri anatomically ah.
Ku-soo-gaadhista Paxil saddexda bilood ee ugu horreysa uurka waxay u horseedi kartaa cillad xagga wadnaha iyo xididdada ah ee uur-kujirka oo guud ahaan waa in laga fogaadaa. Badanaa, dhakhtarkaagu wuxuu heli karaa daawo kale oo badbaado leh oo aad isticmaali karto intaad uurka leedahay. Haddii aad ku jirto Paxil oo aad ogaato inaad uur leedahay, isla markiiba la xiriir OB-GYN-kaaga si aad u hesho hagitaan.
Su'aalaha badanaa la isweydiiyo ee ku saabsan Paxil iyo Zoloft
Waa maxay Paxil?
Paxil (oo sidoo kale loo yaqaan magaca guud ee paroxetine) waa daawo FDA-ansaxisay oo ku jirta fasalka daroogada SSRI, oo loo isticmaalo in lagu daaweeyo jahwareerka weyn ee niyadjabka, OCD, iyo dhibaatooyinka walwalka.
Waa maxay Zoloft?
Zoloft (sertraline) waa daawo ay ansixisay FDA oo ku jirta fasalka daroogada SSRI, oo loo isticmaalo in lagu daaweeyo jahwareerka weyn ee niyadjabka. Waxaa sidoo kale loo isticmaalaa calaamadda-ka-baxsan si loo daaweeyo ciladaha walaaca.
Paxil iyo Zoloft ma isku mid baa?
Paxil iyo Zoloft waa isku mid, laakiin isku mid ma aha. In kasta oo ay labaduba yihiin SSRIs isla markaana u shaqeeyaan si isku mid ah, waxay ku kala duwan yihiin tilmaamaha, qiyaasta, iyo waxyeellooyinka, sida kor lagu sharaxay. Daawooyinka kale ee SSRI waxaa ka mid ah Prozac ( fluoxetine ), Celexa (citalopram), Lexapro (escitalopram), Viibryd (vilazodone), iyo Luvox (fluvoxamine).
Paxil ama Zoloft ma ka fiican yihiin? / Sertraline miyuu ka fiican yahay paroxetine?
Labada daroogoba si fiican ayaa loo dulqaadan karaa waxayna wax ku ool u noqon karaan daaweynta niyadjabka iyo sidoo kale cilladaha walaaca. In kasta oo Zoloft loo muujiyey oo keliya diiqad, haddana dhakhaatiir badan ayaa u qoro walaac sidoo kale. Weydii dhakhtarkaaga haddii mid ka mid ah daroogooyinkaasi ay adiga kugu habboon tahay.
Ma isticmaali karaa Paxil ama Zoloft inta aan uurka leeyahay?
Paxil wuxuu noqon karaa mid khatar ah marka loo isticmaalo saddexda bilood ee ugu horreysa uurka, iyo Zoloft wuxuu noqon karaa mid khatar ah marka loo isticmaalo saddexda bilood ee saddexaad. Si kastaba ha noqotee, caafimaadka maskaxdu waa muhiim — niyadjab aan la daaweyn iyo walwal sidoo kale waxay noqon karaan khatar.
Takhtarkaaga kala tasho isticmaalka daawo kale haddii aad uur leedahay. Haddii aad horay u qaadaneysay Paxil ama Zoloft oo aad ogaatay inaad uur leedahay, la xiriir daryeel caafimaad bixiyahaaga si aad uga hesho talo caafimaad.
Ma ku isticmaali karaa Paxil ama Zoloft aalkolo?
Macluumaadka soo-saaraha ee labada daroogo ayaa tilmaamaya in bukaanku uusan cabin aalkolo inta uu qaadanayo Paxil ama Zoloft.
Zoloft iyo sertraline ma isku mid baa?
Haa. Zoloft waa magaca sumadda ee daawada. Sertraline waa magaca guud. Bukaannada badankood waxay qaataan sertraline, guud ahaan.
Daawooyinka lidka ku ah diiqadkee ayaa leh waxyeelada ugu yar?
Dhammaan dawooyinka lidka diiqaddu waxay la yimaadaan liis digniin ah iyo waxyeelo , sida kor ku xusan. Si kastaba ha noqotee, sababtoo ah qof kastaa wuu ka duwan yahay, dad badani waxay ula dhaqmaan si kala duwan daawooyinka niyadjabka ee kala duwan. Mararka qaarkood waxay qaadataa xoogaa tijaabo iyo qalad ah si loo helo midka adiga kugu habboon, ee leh waxyeelooyinka ugu yar.
Paxil ma yahay dawada niyadjabka wanaagsan?
Dhammaan daawooyinka diiqadda ee SSRI waxay soo mareen tijaabooyin caafimaad oo ballaaran si loo dhiso nabadgelyo iyo waxtarka. La tasho daryeel caafimaad bixiyahaaga si aad u ogaato haddii Paxil uu yahay daawada kugu habboon.
