Ritalin vs. Adderall: Kala duwanaanshaha, isku ekaanshaha, iyo yaa kuu fiican adiga
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
Ritalin (methylphenidate) iyo Adderall (amphetamine / dextroamphetamine) waa laba ka mid ah daawooyinka kiciya ee ugu badan ee loo isticmaalo in lagu daaweeyo ADHD ama khalkhalka feejignaanta maqnaanshaha. Mararka qaarkood, daaweynta dabeecadda ayaa ku filnaan karta inay ka caawiso daaweynta ADHD. Xaalado badan, si kastaba ha noqotee, daaweynta daawooyinka sida Ritalin ama Adderall ayaa loo baahan yahay.
Daawooyinka kiciya waxay ku shaqeeyaan iyagoo xannibaya dib-u-qaadashada qaar ka mid ah neerfaha gudbiya maskaxda. Saamayn ahaan, daawooyinkani waxay gacan ka geystaan kordhinta waxqabadka norepinephrine iyo dopamine si ay uga caawiyaan hagaajinta diiradda iyo feejignaanta. Ritalin iyo Adderall sidoo kale waxay gacan ka geysan karaan hagaajinta soo jeedka dadka qaba narkolepsy.
In kasta oo Ritalin iyo Adderall ay u shaqeeyaan siyaabo isku mid ah, haddana waxay ku kala duwan yihiin qiyaasta iyo qaabaynta. Waxay sidoo kale leeyihiin kala duwanaansho sida ugu dhakhsaha badan ee ay u shaqeeyaan iyo inta ay le'eg tahay saameyntoodu.
Maxay ku kala duwan yihiin Ritalin iyo Adderall?
Farqiga ugu weyn ee u dhexeeya Ritalin iyo Adderall wuxuu ku jiraa maaddooyinka ugu waaweyn. Ritalin waxaa ku jira methylphenidate hydrochloride iyo Adderall waxay ka kooban tahay isku darka amphetamine iyo dextroamphetamine.
Ritalin waa daawo waqti gaaban shaqeyneysa oo gaarto heerarka ugu sareysa jirka waqti gaaban marka loo barbar dhigo Adderall. Ritalin wuxuu ku gaari karaa heerarka ugu sarreeya 1 saac gudahood halka Adderall uu gaaro heerarka ugu sarreeya qiyaastii 3 saacadood maamulka kadib. Sidan oo kale, Ritalin wuxuu ku bilaabmayaa shaqo ka dhakhso badan Adderall.
Taas bedelkeeda, Adderall guud ahaan wuxuu ku sii jiraa jirka muddo ka dheer Ritalin. Celceliska nuska nolosha waa 10 illaa 13 saacadood oo loogu talagalay Adderall iyo 3 illaa 4 saacadood oo loogu talagalay Ritalin. Nooca Ritalin ee waxqabadka dheer, oo loo yaqaan Ritalin LA, ayaa sidoo kale la heli karaa oo soconaya illaa 8 saacadood.
| Farqiga ugu weyn ee u dhexeeya Ritalin iyo Adderall | ||
|---|---|---|
| Ritalin | Adderall | |
| Fasalka daroogada | Dhiirrigelinta CNS | Dhiirrigelinta CNS |
| Summad / astaan guud | Nooc iyo nooc guud ayaa la heli karaa | Nooc iyo nooc guud ayaa la heli karaa |
| Waa maxay magaca guud | Methylphenidate | Cusbada Dextroamphetamine / amphetamine |
| Waa noocee (yada) daroogadu soo gasho? | Kiniiniga afka ah iyo kaniinka la sii daayay | Kiniin afka ah iyo Kiniin la sii-daayay |
| Waa maxay qiyaasta caadiga ah? | 20 illaa 30 mg, laba ama saddex jeer maalin kasta sida uu takhtarku ku faro | 5 ilaa 40 mg hal jeer subaxdii ka dibna 4tii ilaa 6dii saacadoodba mar sida dhakhtar ku faro |
| Muddo intee le'eg ayaa daaweynta caadiga ah? | Isticmaalka muddada-gaaban ama muddada-dheer ah ayaa laga yaabaa inuu ku habboon yahay iyadoo kuxiran dhakhtarkaagu kuu qoro | Isticmaalka muddada-gaaban ama muddada-dheer ah ayaa laga yaabaa inuu ku habboon yahay iyadoo kuxiran dhakhtarkaagu kuu qoro |
| Ayaa si caadi ah u isticmaala daawada? | Dadka waaweyn iyo carruurta jirta 6 sano iyo wixii ka weyn | Dadka waaweyn iyo carruurta jirta 3 sano iyo wixii ka weyn |
Ma dooneysaa qiimaha ugu fiican ee Adderall?
Isu qor digniinta qiimaha Adderall oo ogow goorta sicirka isbeddelo!
Hel digniinta qiimaha
Xaaladaha ay daweeyeen Ritalin iyo Adderall
Haddii adiga ama ilmahaaga laga helo ADHD , Nidaamka neerfaha ee kiciya sida Ritalin ama Adderall waa loo qori karaa. Ritalin iyo Adderall labaduba waa FDA-ogolaaday in lagu daaweeyo astaamaha ADHD, sida feejignaan la'aan, kacsanaan iyo degganaansho la'aan. Labada daawoba sidoo kale FDA ayaa loo oggol yahay in lagu daaweeyo narcolepsy, cillad hurdo oo lagu garto hurdo maalmeedka iyo baahi badan oo loo qabo in la seexdo.
Isticmaalka 'Off-label' ee Ritalin iyo Adderall waxaa ka mid ah daaweynta dhibaatooyinka kale ee caafimaadka maskaxda sida murugada ama walwalka, gaar ahaan bukaanada qaba ADHD. Kiciyeyaashan ayaa sidoo kale loo bartay in lagu daaweeyo cudurka laba-cirifoodka. Mid dib u eegis Suugaanta waxay u aragtay kiciyaasha CNS inay yihiin ikhtiyaar daaweyn macquul ah oo loogu talagalay cudurka laba-cirifoodka in kasta oo waxtarkooda wali la darsayo
Isticmaalada kale ee aan la ansixin ee Ritalin iyo Adderall waxaa ka mid ah miisaanka oo yaraada daaweynta iyo kor u qaadida howlaha garashada, sida barashada iyo xusuusta. Isticmaaladan aan la ansixin waxay u horseedi karaan ku-takri-fal maandooriye ama si xun u isticmaalka dadka qaarkood. Daraasaduhu waxay ogaadeen, kuwa aan lahayn ADHD, kiciyayaashan ha hagaajin howlaha garashada . Taabadalkeed, waxay dhab ahaan u horseedi karaan saameyn garasho xumo.
| Xaaladda | Ritalin | Adderall |
| Ciladda feejignaanta yaraanta feejignaanta (ADHD) | Haa | Haa |
| Narcolepsy | Haa | Haa |
| Niyad jab | Off-calaamadda | Off-calaamadda |
| Walaac | Off-calaamadda | Off-calaamadda |
| Cudurka laba-cirifoodka | Off-calaamadda | Off-calaamadda |
Ritalin ama Adderall waxtar badan ma leeyihiin?
Ritalin iyo Adderall labaduba waa daawooyinka waxtarka leh si loo daaweeyo ADHD iyo daroogada. Hal ikhtiyaar ayaa laga yaabaa inuu si fiican u shaqeeyo iyadoo kuxiran sida jidhkaagu uga jawaabo daroogada. Haddii aad isticmaaleyso sii deyn deg deg ah ama sii-deyn dheeri ah waxay sidoo kale saameyn ku yeelan kartaa sida ugu wanaagsan ee daroogadu adiga kuugu shaqeyso.
Sida laga soo xigtay a falanqaynta meta oo ay ku jiraan 133 tijaabooyin caafimaad, methylphenidate ayaa waxtar badan u leh daawada safka koowaad ee carruurta iyo dhalinyarada leh ADHD. Wixii qaangaarka ADHD , Adderall wuxuu noqon karaa xulashada daaweynta la doorbiday. Falanqeyntan ayaa sidoo kale isbarbar dhigtay xulashooyinka kale ee daaweynta sida Strattera (atomoxetine), Provigil (modafinil), iyo Wellbutrin (bupropion).
Daraasado kale ayaa sidoo kale lagu ogaaday in Adderall laga yaabo inuu ka faa'iideysto sii-deynta degdegga ah ee Ritalin. Iyada oo ku saleysan falanqeyn meta ah, Adderall wuxuu u dhigmaa Ritalin wax ku ool leh a muddada dheer ficil ahaan.
Daaweynta ADHD waa shakhsi ahaaneed iyada oo ku saleysan calaamadaha iyo astaamaha. La hadal dhakhtarkaaga si aad u ogaato fursadaha ugu fiican ee adiga ama ilmahaaga loo heli karo. Ikhtiyaarrada daaweynta waxay u badan tahay inay ku jiri doonaan isku-dar ah daaweynta dabeecadda iyo daawo.
Ma dooneysaa qiimaha ugu fiican ee Ritalin?
Saxiix ogeysiisyada qiimaha Ritalin oo ogow goorta qiimaha isbeddelo!
Hel digniinta qiimaha
Daboolida iyo qiimaha isbarbar dhiga Ritalin iyo Adderall
Inta badan Medicare iyo qorshayaasha caymiska ayaa dabooli doona nooca guud ee Ritalin. Celceliska qiimaha tafaariiqda ee Ritalin wuxuu ku dhow yahay $ 100. Halkii laga bixin lahaa kharashka tafaariiqda oo buuxa, SingleCare waxay bixisaa kaar dhimis oo hoos u dhigi kara qiimaha lacagta caddaanka ah ee guud ahaan Ritalin illaa $ 21 iyadoo kuxiran farmashiyaha aad isticmaasho.
Adderall badanaa waxaa daboola inta badan Medicare iyo qorshayaasha caymiska markii loo qoro si guud. Qorshayaasha qaarkood ma dabooli karaan daawooyinka magaca ku qoran haddii ay jiraan qiimo jaban oo la heli karo. Celceliska qiimaha tafaariiqda ee Adderall guud ahaan wuxuu ka badan yahay $ 500. Waxaad u isticmaali kartaa kaarka keydka ee 'SingleCare' inaad ku iibsato jaaniska guud ee Adderall ugu yaraan $ 35.
| Ritalin | Adderall | |
| Caadi ahaan caymiska ayaa daboolaya? | Haa | Haa |
| Caadi ahaan laga bixiyo Medicare? | Haa | Haa |
| Qiyaasta caadiga ah | 20 mg, tiro 60 kiniin ah | 30 mg, tiro 60 kiniin ah |
| Bixinta lacagta caadiga ah ee 'Medicare' | $ 3– $ 69 | $ 7– $ 78 |
| Qiimaha SingleCare | $ 21 | $ 35 |
Dhibaatooyinka guud ee Ritalin iyo Adderall
Dhibaatooyinka ugu badan ee ka dhasha Ritalin waa madax xanuun, hurdo la’aan ama hurdo xumo, walaac, dhidid badan, garaaca wadnaha oo kordha (tachycardia), wadna garaac, af qallalan, iyo lallabbo.
Dadka qaata Adderall waxaa laga yaabaa inay la kulmaan dhibaatooyin soo raaca oo ay ka mid yihiin madax xanuun, hurdo la'aan, af qalalan, gariir ama walaac, garaaca wadnaha oo kordha, iyo lallabbo.
Ritalin iyo Adderall labaduba waxay sababi karaan calool xanuun ama calool xanuun iyo sidoo kale rabitaanka cuntada oo yaraada. Cunto xumida oo yaraata ayaa badanaa u horseedi karta miisaanka dadka qaarkiis.
Dhibaatooyinka kale ee aadka u daran waa kuwo naadir ah waxayna badanaa dhacaan markii daawooyinkan lagu qaato qadar ka badan inta caadiga ah. Haddii dhibaatooyinkaas ka sii daraan waqti ka dib, la tasho dhakhtar talo caafimaad.
| Ritalin | Adderall | |||
| Saamaynta Side | Ma khuseysaa? | Joogtaynta | Ma khuseysaa? | Joogtaynta |
| Madax xanuun | Haa | * lama soo sheegin | Haa | * |
| Hurdo la'aan | Haa | * | Haa | * |
| Af qalalan | Haa | * | Haa | * |
| Lallabbo | Haa | * | Haa | * |
| Kordhinta garaaca wadnaha | Haa | * | Haa | * |
| Baabashooyin | Haa | * | Haa | * |
| Walaac | Haa | * | Haa | * |
| Dhidid badan | Haa | * | Haa | * |
| Cunto xumo | Haa | * | Haa | * |
| Calool xanuun | Haa | * | Haa | * |
Tani ma noqon karto liistada dhameystiran ee waxyeelooyinka xun ee dhici kara. Fadlan tixraac dhakhtarkaaga ama daryeel caafimaad si aad wax badan uga ogaato.
Xigasho: DailyMed ( Ritalin ), DailyMed ( Adderall )
Isdhexgalka daroogada ee Ritalin iyo Adderall
Ritalin iyo Adderall waxay la falgeli karaan qaar ka mid ah isla daawooyinka. Daawooyinkaas waxaa ka mid ah monoamine oxidase inhibitors (MAOIs), antihypertensives, iyo suuxinta. Qaadashada daawooyinkan Ritalin ama Adderall waxay kordhin kartaa halista waxyeellooyinka wadnaha, sida isbeddelka cadaadiska dhiigga ama garaaca wadnaha.
Ritalin iyo Adderall waxay sidoo kale la falgalaan dawooyinka serotonergic, oo ay ku jiraan kuwa badan dawooyinka lidka diiqadda sida fluoxetine iyo paroxetine. Qaadashada daawooyinkan waxay kordhin kartaa halista cudurka serotonin syndrome.
Marka la barbardhigo Ritalin, Adderall waxaa suuragal ah inuu la falgalo daroogooyin badan. Adderall si aad ah ayaa loogu shaqeeyaa si hubaal ah beerka enzymes , sida kuwa ka tirsan qoyska CYP2D6. Sababtaas awgeed, Adderall wuxuu la falgeli karaa CYP2D6 inhibitors, kaas oo kordhin kara heerarka Adderall isla markaana kordhin kara halista waxyeellooyinka xun.
Adderall waxaa sidoo kale loo yaqaanaa inuu la falgalo aashitada iyo walxaha alkalinizing. Daawooyinkani waxay saameyn ku yeelan karaan sida wanaagsan ee Adderall jirka u nuugo.
| Daroogada | Fasalka Daroogada | Ritalin | Adderall |
| Selegiline IsocarboxazidPhenelzine | Kahortagayaasha Monoamine oxidase (MAOIs) | Haa | Haa |
| Lisinopril Losartan Amlodipine | Daawooyinka dhiig karka | Haa | Haa |
| Halothane Isoflurane Desflurane | Suuxdinta | Haa | Haa |
| Trazodone Citalopram Fluoxetine Sertraline | Dawooyinka Serotonergic | Haa | Haa |
| Metoprolol Propranolol Atenolol | Xannibaadaha Adrenergic | Haa | Haa |
| Guanethidine Reserpine Amooniyam koloriin | Wakiilada Acidifying | Maaha | Haa |
| Sodium bicarbonate Acetazolamide | Wakiilada Alkalin | Maaha | Haa |
| Paroxetine Fluoxetine Quinidine Ritonavir | CYP2D6 xannibaadayaasha | Maaha | Haa |
Tani ma aha liistada dhameystiran ee isdhexgalka daroogada. Fadlan la tasho dhakhtarkaaga kahor intaadan qaadan daawooyinkan.
Digniinta Ritalin iyo Adderall
Kiciyeyaasha CNS sida Ritalin iyo Adderall ayaa lagu soo warramey inay sababaan halista sii kordheysa ee dhacdooyinka wadnaha, sida wadno qabad iyo istaroog. Dadka taariikh ku leh dhibaatooyinka wadnaha, sida wadna xanuunka wadnaha ama xididdada wadnaha, waa inay taxaddar isticmaal markii aad qaadaneysid daawooyinkan.
Ritalin iyo Adderall sidoo kale waxay sababi karaan cadaadis dhiig oo kordha iyo garaaca wadnaha. Kuwa dhiig karka qaba ee qaata daawooyinka dhiig karka waa in si joogto ah loola socdaa inta ay qaadanayaan kiciyaha.
Ritalin iyo Adderall waa walxaha Schedule II gacanta lagu hayo sida ku xusan DEA. Isticmaalka kiciyeyaasha daawada ee daawada ayaa kuu horseedi kara mukhaadaraadka , iyo / ama ku tiirsanaanta Joojinta kadiska ah ee daawooyinkan waxay sidoo kale kordhin kartaa halista astaamaha ka-noqoshada. Waa muhiim in la isticmaalo daawooyinkan iyada oo ay kormeerayaan bixiye daryeel caafimaad.
Muddo-dheer isticmaalka kiciyeyaasha carruurta waxay u horseedi kartaa xakamaynta koritaanka. Dhererka iyo culeyska carruurta waa in lagu cabbiraa inta lagu jiro daaweynta kiciyeyaasha.
Ritalin ama Adderall waa in aan la isticmaalin inta lagu jiro uurka ama naas nuujin.
Su'aalaha badanaa la isweydiiyo ee ku saabsan Ritalin vs. Adderall
Waa maxay Ritalin?
Ritalin waa daawo magac caan ah oo loo isticmaalo in lagu daaweeyo feejignaan la'aanta feejignaanta (ADHD) iyo narcolepsy. Waxay u shaqeysaa sida kiciyaha CNS si ay uga caawiso hagaajinta diiradda iyo soo jeedka. Ritalin waxaa loo heli karaa sidii daawo guud oo si dhakhso leh loo sii daayo (Ritalin) iyo sii-deyn dheereyn ah (Ritalin LA, Ritalin SR).
Waa maxay Adderall?
Adderall waa dawo dhakhtar qoro oo ka kooban isku darka amphetamine iyo cusbada dextroamphetamine. Waa FDA-loo oggolaaday daaweynta ADHD iyo narcolepsy. Adderall waxaa lagu heli karaa kiniin si dhakhso leh loo sii daayo iyo sii-deyn (Adderall XR).
Ritalin iyo Adderall ma isku mid baa?
Ritalin iyo Adderall waxay u shaqeeyaan siyaabo isku mid ah laakiin isku mid ma aha. Ritalin waxaa ku jira methylphenidate sidoo kale Adderall waxaa ku jira amphetamine / dextroamphetamine.
Ritalin mise Adderall ma ka fiican yahay?
Ritalin iyo Adderall labaduba waa dawooyin dhakhtar qoro oo wax ku ool ah oo lagu daaweeyo ADHD iyo narcolepsy. Cilmi baaris ayaa muujisay in Ritalin laga yaabo inuu ufiicnaado caruurta iyo dhalinyarada halka Adderall uu ugufiicnaan karo dadka waaweyn. Waa muhiim inaad kala hadasho xulashooyinkaas dhakhtarka maaddaama daaweyntu ku xiran tahay xaaladdaada guud.
Ma isticmaali karaa Ritalin ama Adderall inta aan uurka leeyahay?
Maya. Ritalin iyo Adderall guud ahaan laguma talin dumarka uurka leh ama naas nuujinaya. La hadal dhakhtar si aad u ogaato ikhtiyaarrada daaweynta ADHD ee ugu fiican inta aad uurka leedahay.
Ma ku isticmaali karaa Ritalin ama Adderall khamri?
Cabitaanka khamriga iyadoo la adeegsanayo Ritalin ama Adderall waxay kordhin kartaa halista waxyeelada xun. Aalkoladu waxay isku dari kartaa saameynta kiciyaasha waxayna u horseedi kartaa saameyn aan la saadaalin karin. Laguguma talin inaad khamri ku cabto kiciyayaal.
Ritalin miyuu dareemayaa sida Adderall?
Maaddaama ay kicinayaan CNS, Ritalin iyo Adderall labaduba waxay soo saaraan saameyn isku mid ah oo daaweyn ah, sida feejignaan, feejignaan, iyo feejignaan kordhay. Qiyaasta sare, daawooyinkani waxay sababi karaan dareemo raynrayn iyo tamar kordhin.
Ritalin xawaare ma yahay?
Ritalin waxaa ku jira methylphenidate, kicin kiciya oo soo saari kara saameyn la mid ah tan xawaaraha. Xawaare, si kastaba ha noqotee, waxaa loola jeedaa daawooyinka loo yaqaan 'amphetamines'. Methamphetamine waa daroogo caadi ahaan si xun loo isticmaalo oo loo yaqaan xawaare.
Ritalin ma kaa farxiyaa?
Dad badan oo qaata Ritalin waxay soo sheegaan shucuur dabacsan, gaar ahaan gudaha qaadasho sare . Isticmaalayaasha kale waxay soo sheegaan dareenka isku kalsoonida iyo dhiirigelinta. Tani waa sababta Ritalin iyo kiciyayaal kale ay u noqon karaan dawooyin caado sameys ah oo mararka qaar si khaldan loo isticmaalo.











