Kodi pali kusiyana pakati pa dzina la Brand and Generic Thyroid?
Kodi pali kusiyana kulikonse pakati pa generic levothyroxine ndi mankhwala otchedwa brand, Synthroid, Levoxyl, Unithroid, ndi Levothroid? Kodi mungadziwe chiyani ngati mutasintha pakati pa mitundu yosiyanasiyana kapena mapiritsi a generic levothyroxine? Kodi pali chizindikiro china chomwe chili chabwino kwambiri?
Levothyroxine-Tanthauzo, ndi Kugwiritsa Ntchito
Levothyroxine ndi machitidwe opangidwa ndi munthu (hormone) (Thyroxine, kapena T4) yomwe imapangidwa ndi kutulutsidwa ndi chithokomiro chanu.
Levothyroxine amalembedwa kwa anthu omwe ali ndi chithokomiro chosawonongeka, matenda otchedwa hypothyroidism.
Dzina lajambula ndi Generic Preparations ya Levothyroxine
Mwinamwake mumadziwika ndi dzina lachidziwitso komanso kukonzekera kwa mankhwala osiyanasiyana. Zokonzekera dzina lajambula zimapezeka poyamba. Patatha nthawi, opanga ena amaloledwa kupanga mankhwala omwewo. Pamene "mankhwala" ali ofanana, zopangira zosakakamizidwa zinawonjezeredwa kuti zipangidwe bwino, kusunga mankhwala, kapena kuwonjezera mtundu zingakhale zosiyana.
Pali mayina anayi omwe amayesedwa bwino, dzina la mayendedwe a levothyroxine omwe akupezeka ku United States kuti athetse anthu omwe ali ndi hypothyroidism ( mankhwala osokoneza bongo ) : Levothroid, Levoxyl, Synthroid, ndi Unithroid. Ngakhale pali kusiyana kwa momwe zipangizozi zimapangidwira, monga kugwiritsa ntchito mitundu ya dyes ndi fillers, mankhwala onsewa ndi odalirika.
US Food and Drug Administration (FDA) yavomereza kugwiritsa ntchito levothyroxine, yomwe tsopano imapangidwa ndi makampani osiyanasiyana osiyana siyana.
Kusiyanasiyana pakati pa Brand and Generic Preparations
Anthu angadziwe kuti samamva bwino pamene akusintha kuchokera kukonzekera kupita kwina, ndipo izi sizosadabwitsa. Ngakhale mankhwalawa ndi ofanana, pangakhale njira zingapo zomwe zimasiyana. Mwachitsanzo, mankhwalawa akhoza kusiyana:
- Kodi ndi levothyroxine yochuluka bwanji mu piritsili
- Kodi ndi levothyroxine yochuluka bwanji yomwe imalowa mu thupi?
- Kuchuluka kwa levothyroxine kumazungulira thupi lanu pambuyo pa mlingo
- Mankhwala osiyana akhoza kukhala ndi zosiyana
Ngakhale mankhwala owonjezera omwe amawonjezera mankhwalawa amatengedwa kuti "inert" kapena "osatetezeka," kafukufuku apeza kuti awa "excipients" kapena zosakanikirana zosakaniza nthawi zina zingathandize kuti mankhwala ena apindule.
Kusintha Pakati pa Zosiyana Mitundu kapena Kukonzekera Kwachibadwa kwa Levothyroxine
Ngati dokotala wanu wasintha kuchoka ku dzina lakuti brand levothyroxine-monga Synthroid-ku ma generic, mukhoza kukhala ndi zizindikiro za mankhwala owonjezera kapena mankhwala osakwanira. Ndipotu, bungwe la American Association of Endocrinologists limalimbikitsa kuti mugwiritse ntchito mankhwala omwewo (kapena mtundu wambiri) mankhwala anu onse. Iwo akupitiriza kunena kuti "matenda a chithokomiro kawirikawiri amatenga chithandizo chamoyo wonse ndipo amatha kusamalidwa bwino ndi mankhwala ochiritsidwa ndi ofanana ndi mahomoni a chithokomiro omwewo."
Kuonjezerapo, mungapatsidwe kukonzekera kosiyana kwa levothyroxine nthawi iliyonse yomwe muli ndi mankhwala anu. Kuyankhula moyenera, izi zikutanthauza kuti dokotala wanu angafunikire kuyesa magazi nthawi zambiri ndipo mwina kusintha mlingo wa mankhwala anu.
Ngakhale kuti zizindikiro zakumva zimangokhala mwadzidzidzi kapena chifukwa cha matenda ena, ndizotheka kuti thupi lanu limagwirizana ndi Synthroid ndi generic levothyroxine. Ndikofunika kuti mukambirane kusintha kumeneku ndi dokotala wanu.
Nanga Bwanji Generic Levothyroxine?
Kawirikawiri, kukonzekera mwachibadwa kwa levothyroxine nthawi zambiri kumakhala bwino, poganiza kuti mukupatsidwa mankhwala ofanana ndi omwewa nthawi yambiri. Mavuto angayambe ngati mankhwala anu akusuntha pakati pa machitidwe okonzeka osiyanasiyana malinga ndi mtengo wotsika kwambiri kwa iwo. Pachifukwa ichi, madokotala ena amapereka mankhwala a dzina lokha kuti asatenge chisokonezo ichi.
Ngati mukumverera bwino ndipo mayeso anu a magazi ali olimba pa mtundu wa levothyroxine, mwa njira zonse, pitirizani kugwiritsa ntchito kukonzekera. Mwinanso mumakhala ndi zovuta chifukwa mwasintha kuti mukhale ndi dzina la mankhwala pa nthawi ino. Komabe, zikhoza kukuthandizani kuti mupange ntchito yowonongeka (ndipo mwinamwake musinthe ma pharmacies) kuti mutsimikizire kuti mupitirize kupeza kukonzekera kofanana komwe kumapangidwa ndi wopanga yemweyo.
Kusiyanitsa pakati pa dzina la mtundu ndi kukonzekera kwachibadwa (kapena kusintha pakati pa izi) kwawonetsedweratu bwino ndi ana omwe ali ndi matenda aakulu okhudzana ndi hypothyroidism. Tikufuna kunena kuti kusinthana kwa amayi a mwanayo amene adapeza m'malo mogonana ndi hypothyroidism ndipo kusamalira mwanayo ndikofunikira kwambiri.
Zomwezo zingatheke ngati mutasinthidwa kuchoka ku mtundu wa Levothyroxine ku Synthroid. Mfundo yofunikira ndi yakuti kusintha kulikonse koyambitsa mankhwala omwe mukukumana kungachititse kusintha kwa thupi lanu lomwe likulandila kugwira ntchito.
Zizindikiro za Chithokomiro Zosalephereka ndi Levothyroxine Ngakhale TSH Yachibadwa
Ngati chisonyezo chanu cha chithokomiro sichikuwoneka ngati chikuchiza chithandizo, funso loyamba kuti mufunse ndilo ngati mukuwona dokotala yemwe akudziwa kwambiri vuto la chithokomiro . kapena ali ndi chidwi chachikulu. Dokotala yemwe amachita chidwi kwambiri amadziwa kuti pali mauthenga ochulukirapo pa chithandizo, ambiri omwe amaganizira mozama. Ngati sichoncho, mungafunikire kusinthana madokotala kapena kupeza lingaliro lachiwiri . Maganizo "akufanana ndi onse" samagwira ntchito ndi matenda a chithokomiro .
Kaya ndi dzina lachilendo kapena la generic lavothyroxine munthu amalandira, anthu ena amapitirizabe kuona zizindikiro za hypothyroidism ngakhale pamene TSH yawo ndi yachibadwa. Kwa anthu ena, Kuwonjezera kwa T3 ku T4 "monotherapy" kungayambitse bwino zizindikiro ndi khalidwe la moyo. Dzifunseni mafunso awa ngati chithokomiro chanu chokonzekera sichikuwoneka chikuchita.
Mfundo Yofunika Kwambiri Kukonzekera kwa Levothyroxine
Ngakhale kuti kafukufuku sanapeze kusiyana kwakukulu pakati pa dzina la mankhwala ndi kukonzekera kwa generic levothyroxine, ndikofunikira kupitiliza kugwiritsa ntchito kukonzekera komwe mwakhala mukugwiritsa ntchito (kapena kusintha kwa omwe mukukonzekera kuti mukhalitse nthawi yaitali) kusiyana komwe kungakhaleko. Kuchokera panjira, mankhwalawa amalowa m'matumbo anu, momwe mankhwala anu amathandizira "kuona," mankhwala osakanikirana akhoza kuthandizira pa mlingo wanu komanso potsiriza momwe mumamvera.
N'kutheka kuti opanga mankhwala otchuka amadzitamandira phindu la zinthu zawo, koma maphunziro mpaka lero akulephera kusonyeza ubwino wokonzekera wina, makamaka pa chithunzi chachikulu. Inu mumadziwa thupi lanu okha. Ngati simukumverera bwino pakukonzekera kwanu ngakhale kuti kuyesedwa kwa magazi kukuwonetsani kuti muyenera kukhala, kungakhale koyenera kusintha pa dzina lokonzekera dzina. Kafukufuku akuyang'ana kuyankha kwa mankhwala a anthu, koma anthu si anthu. Pali mauthenga ambirimbiri a anthu omwe asintha malemba-ndipo amamva bwino chifukwa cha kusintha-kuchotsa kusiyana kulikonse.
Monga chomaliza, mwinamwake munamvapo za mankhwala osokoneza bongo omwe amadziwika ndi chilengedwe . Ngakhale kuti madokotala ambiri amadandaula pakumva za mankhwalawa, amakhala othandiza kwa anthu ena. Mfundo yofunika ndiyo kukhala woyimilira. Ndiwo okha amene mumadziwa momwe mumamvera pa kukonzekera kwa chithokomiro chanu, kaya dzina, dzina lanu, generic, T3 yowonjezerapo kapena mankhwala opangidwa ndi chilengedwe. Pezani dokotala yemwe angagwire nanu ndikumvetsera kwa inu, kuzindikira kuti momwe mumamvera, osati zotsatira za maphunziro atsopano, ndikofunikira kwambiri.
> Zosowa
- > Carswell, J., Gordon, J., Popovsky, E., Hale, A., ndi R. Brown. Generic ndi Brand-Name L-Thyroxine si Bioequivalent kwa Ana omwe Ali ndi Matenda Okhudzana ndi Matenda a Hyperothyroidism. Journal of Clinical Endocrinology ndi Metabolism . 2013. 98 (2): 610-7.
- Kasper, Dennis L .., Anthony S. Fauci, ndi Stephen L .. Hauser. Mfundo za Harrison za Mankhwala a M'kati. New York: Maphunziro a Mc Graw-Hill, 2015. Print.
- > Romanelli, R., Kimball, V., Dutcher, S., Pu, X., ndi J. Segal. Othandiza ndi Oleza Mtima Odzidzimutsa a Generic Levothyroxine Kufotokozera: Phunziro Lophunzirira Za Zaumoyo Zachipangizo. The Annals of Pharmacotherapy . 2017 Apr 1. (Epub patsogolo pa kusindikiza).