Meloxicam ki a Naproxen: Te kaha, Te Tupono ki te Puku, Te Horopeta, me Me Pēhea te Kōwhiri

Ehara te kaha o tētahi ki tētahi. I roto i ngā whakamātau whakataetae, ka whakamaarūhia e te meloxicam 7.5 mg kotahi ia rā te mamae o te mate kōtuitui pera me te naproxen 750 mg ia rā. Ko te rereketanga o te meloxicam ki te naproxen ko te pai: ko te meloxicam he rongoā anake, kotahi ia rā, ā, he ngāwari ake ki te puku i ngā horopeta iti; ko te naproxen kei te wātea kaore he rongoā, ā, ka rongoāhia he tini kē atu o te mamae.

TL;DR: Ko ngā mea nui hei maumahara

• I ngā horopeta paerewa, ka whakahaerehia e ngā rongoā e rua te mamae o te mate kōtuitui kia rite. E kore e taea te whakarite te tatauranga mirirāmi i waenga i ngā rongoā rerekē.
• I puta te iti o ngā mate kino ki te puku i te meloxicam i te naproxen i roto i tētahi whakamātau ono marama (30.3% ki te 44.7%).
• Ko te painga ki te puku ka tino kaha ki te 7.5 mg, ā, ka iti ake ki te 15 mg.
• E mau ana ngā mea e rua i te whakatūpato pouaka FDA rite tonu mō te whakaeke ngakau, te whiu, me te toto i te puku, ā, i te whekau.
• Kaua rawa e tango tahi. Ko te whakakotahi i ngā NSAID e rua ka tini ake te tupono me te kore e taapiri atu i te whakaora.

Meloxicam ki a Naproxen: Te tikanga rite, te uru me te manawataki rerekē

He rongoā anti-inflammatory kore-steroidal (NSAID) te meloxicam me te naproxen, ka aukatihia te whakaputa prostaglandin, koinei te take ka whakaora ai i te mamae me te pupūnga i ngā ara rite. Ko te meloxicam he rongoā anake, ka tangohia kotahi ia rā, ā, kua whakaaetia mā te mate kōtuitui. Kei te wātea te naproxen mā te rongoā me te kore he rongoā, ka tangohia kia rua, kia toru rānei i te rā, ā, ka rongoāhia he tini kē atu o te mamae. I ngā horopeta paerewa, ka rite te whakaora.

He pono te āputa o te whakamahinga kua whakaaetia. Kua raihana te meloxicam mō te osteoarthritis, rheumatoid arthritis, me te juvenile idiopathic arthritis i ngā tamariki 2 tau ki runga ake, me te kore he mea kē atu. Ka hipokina e te naproxen ēnei mate kōtuitui me te mamae o te paheketanga, te mamae o te upoko, me te mamae o ngā uaua, ā, ka taea e koe te hoko hei Aleve me te kore e kite i tētahi.

I te taha o te tikanga, he mea nui tētahi rereketanga. I ngā horopeta iti, ka kaha ake te meloxicam ki te aukati i te COX-2 i te COX-1, i te mea ka aukatihia e te naproxen ngā ngota ngota e rua kaore he kōwhiri. Ka āwhina te COX-1 ki te pupuri i te ara o te puku, ā, ko tērā mea kotahi te turanga katoa o te ingoa o te meloxicam hei āwhina i te puku.

Ko tehea te kaha ake, meloxicam rānei naproxen? I kī te whakamātau he rite

Ka pātai ana te tangata he kaha ake te meloxicam, te naproxen rānei, ka whakatauritea e rātou te maha o ngā pire. He whakautu tika tōna. I roto i tētahi whakamātau rua-matapo ono marama ki te hunga whai mate kōtuitui rheumatoid, i rite te pai o te meloxicam 7.5 mg ia rā ki te naproxen 750 mg ia rā. Ko ngā mate kino ki te puku i puta ki te 30.3% o te rōpū meloxicam me te 44.7% o te rōpū naproxen, ā, ka kitea he wheketohe kua whakamanatia e te endoscopy i roto i te rōpū naproxen.

Na, ko te 15 mg o te meloxicam ehara i te mea he horopeta ngoikore ake i te 500 mg o te naproxen. E mehia ana e ngā mirirāmi te taumaha o tētahi ngota ngota, ehara tōna kaha, ā, e kore e taea te whakarite ki ngā rongoā rerekē, pērā i te kore e taea te whakarite inihi ki te pauna.

Ko te mea ka whakarerekē i te katoa o te whakatau. Ehara koe i te kōwhiri i te rongoā kaha ake. E kōwhiri ana koe i te tauira pānga kino me te manawataki horopeta ka taea e koe te ora tonu.

• Ka pai te meloxicam ki te hiahia koe kia kotahi te horopeta i te rā mō te tiaki roa o te mate kōtuitui, kua mamae koe i te puku i te tango i ngā NSAID kore-kōwhiri, ā, ko te maumahara ki ngā horopeta te raru nui.
• Ka pai te naproxen ki te hiahia koe kia rite ki te wa i te wa, kia uru mai rānei kaore he rongoā, ki te nui ake te mamae o tō mamae i te mate kōtuitui ki te kōiwi, te upoko, te pakarutanga rānei, ā, kua pai kē tō urupare ki a ia.

Mō te mate kōtuitui, ko ngā mea ka whakatau ko tō puku, tō ngākau, me tō horopeta

Te whakataurite i te naproxen ki te meloxicam mō te mate kōtuitui, kua whakaaetia ngā mea e rua e te FDA mō te osteoarthritis me te rheumatoid arthritis, me te taapiri o te meloxicam i te juvenile idiopathic arthritis mai i te 2 tau. E kore e taea e te whai hua te whakatau. Ko tō puku, ā, ko tō whatukuhu, ā, ko tō ngākau te whakatau.

Ko te mea kaore e kōrero ngā whārangi katoa ki a koe: ko te painga o te meloxicam ki te puku ka whakawhirinaki ki te horopeta. I kitea e tētahi arotake o te American Family Physician ko te pātata pai ake ki te puku kei te horopeta 7.5 mg, ā, ka iti ake ki te 15 mg. Ki te kii te rongoā a tō tākuta he 15 mg, kaua e kii kua mau tonu koe i te painga ngāwari ki te puku i riro mai i te horopeta iti. I kitea e taua arotake nei kāore i piki ake te reiti o ngā huihuinga thromboembolic ki te meloxicam i te naproxen, ko te mea nei ka whakaiti i te whakapono o te katoa ko te naproxen te NSAID pai ake mō te ngākau. Ko tērā he whakataurite i waenganui i ēnei rongoā e rua, ehara i te taunakitanga e tiaki ana te meloxicam i tō ngākau.

E mau ana ngā rongoā e rua i te whakatūpato pouaka FDA rite tonu: ka piki te tupono ki ngā huihuinga thrombotic kino, tērā pea ka mate, me te toto nui, te wheketohe, me te pakaru, ka puta katoa ēnei me te kore e whakatūpato. Ka piki te tupono ki te tau pakeke ake, te hauora kino katoa, te hikareti, me te nui o te kai waipiro.

Ko te ngaro o te toto i te puku kaore e kitea. I etahi wa ko te tohu tuatahi ko te mate kohi-waiora te take ko te kitea o te iti o te tatauranga MCV i roto i ngā whakamātau toto i ngā taiwhanga noa, he marama i mua i te kitea o te toto. Whakamahia te horopeta iti rawa e whai hua ana mō te wa poto rawa ka whakahaerehia tō mate kōtuitui, ā, whakatika kia arotakehia i tēnā i te whakakiia tonutia.

Ko te kotahi-rā horopeta te painga nui rawa atu o te meloxicam

Ko te rereketanga o te horopeta o te meloxicam ki te naproxen te mea tino whai hua e wehewehe ana i a rāua. Ka timata te meloxicam i te 7.5 mg kotahi ia rā mō te osteoarthritis me te rheumatoid arthritis, me te tuanui o te 15 mg kotahi ia rā ahakoa te āhua me te iti o te teitei ki te 7.5 mg ia rā mō te hunga kei te hemodialysis. Ka tangohia e koe i te wa ano ia rā, me te kai, me te kore kai.

Ko te naproxen rongoā ka tangohia te tikanga kia rua i te rā mō te mate kōtuitui, me tētahi āhua roa ka tangohia kotahi ia rā. Ko te naproxen kaore he rongoā kei te kaha ake te mana: 1 papa ia 8 ki te 12 haora, kaua e neke atu i te 2 papa i roto i te 8 ki te 12 haora, ā, kaua e neke atu i te 3 papa (660 mg) i roto i te 24 haora, me te horopeta tuatahi o te 2 papa ka whakaaetia i te haora tuatahi.

He aha te wehewehe? Te whakahaere rongoā. Ko te haurua-ora o te meloxicam tata ki te 20 haora e ai ki te tapanga a te kaihanga, ko te haurua-ora o te naproxen kei te tata ki te 12 ki te 17 haora, na reira ka mau tonu te taumata toto o te meloxicam puta noa i te rā katoa, ā, me taapiri te naproxen.

E rua ngā mea ka whakararu i te tangata. Ka taea e te painga anti-inflammatory katoa te tango kotahi ki te rua wiki kia puta, na reira kāore tētahi rongoā e tika ana kia whakatauhia i muri i ngā rā e rua. Ā, ko te uru kaore he rongoā te ara ngāwari ki te nui o te horopeta o te naproxen: he ngāwari rawa te eke ki te rohe 24-haora, te takirua rānei i roto i te rongoā mamae maha-tohu, te makariri rānei, me te kore e whai whakaaro.

Ko te tango tahi ka tini ake te tupono me te kore e tini ake te whakaora

Ko te whakautu poto ki te pātai mēnā ka taea e koe te tango meloxicam me te naproxen tahi ko te kore. Ko te whakakotahi i ngā NSAID e rua ka tini ake te tupono ki te toto i te puku me te whatukuhu, me te taapiri tata kore ki te whakahaere mamae, no te mea ka whakataetae ngā rongoā e rua mō te ngota ngota kotahi. Ka rite hoki te whakatūpato ki te ibuprofen, diclofenac, aspirin, me ngā rongoā whakaheke toto, ki te kore e whakahaua e te tākuta ki a koe.

Panuitia ngā tapanga o ngā mea katoa e hokona ana e koe mō te mamae, te makariri, te mamae rānei o te ihu. Ko ngā NSAID huna i roto i ngā hua whakakotahi te huarahi tino noa e nui ake ai te horopeta o te tangata me te kore e whai whakaaro.

Ki te neke atu tō tākuta mai i tētahi rongoā ki tētahi atu, kāore he wāhi horoi mana e hiahiatia ana, engari ko te taumaha tērā e hiahia ana koe kia karo. Kati tētahi, timata tētahi, ā, tatari kia kotahi ngā rā kia mukua te meloxicam, na te roa o tōna haurua-ora. Kaua e whiti i te āputa mā te taapiri i te naproxen kaore he rongoā ki runga i te meloxicam i te wā e tatari ana koe kia whai hua te rongoā hou. Ko tērā te tauira tika e whakaahuahia ana e te whakatūpato i runga ake nei.

Ko ētahi tohu whakatūpato NSAID ka hiahia tiaki i tēnei rā, ehara i te wa e whai ake nei

Ehara te whakatūpato pouaka i te mea noa. Ka puta ēnei huihuinga, ā, ko ngā mea tere te wa ka tika kia maumaharatia.

Waea atu ki te 911, haere rānei ki te ruuma whawhati tata ināianei ki te:

• Kei te mamae te uma, te uaua ki te manawa, te ngoikore o tētahi taha o te tinana, te ngongo ranei, te korero pokanoa ranei
• Ka ruakina e koe te toto, te mea rānei ka rite ki te parauri kawhe
• He pango, he piri, he toto rānei ō kumete
• He mamae nui o te puku kaore e mutu
• Ka pupū te mata, te korokoro rānei, ka uaua koe ki te manawa, ā, ka puta mai ngā poka katoa ki tō tinana

Ko te taumata e whai ake nei kaore i te tino nui engari kaore hoki e tika kia tatari ki tō hui whakarite e whai ake nei.

Whakaritehia he toro atu i roto i te wiki e whai ake nei ki te:

• He kōwhai te ahua o tō kiri, o ō kanohi rānei, he pouri tō mimi, ā, ka tino ngenge koe
• He iti te mimi, ka pupū rānei ō waewae me ō waewae
• He mamae tonu te ngakau, te mamae rānei o te puku i runga i tētahi rongoā
• Kare ano kia tino ora te mamae o te mate kōtuitui i muri i te kotahi ki te rua wiki i te horopeta pumau

Kōrero ki tētahi tākuta i mua i te tiimata o tō mena:

• Kua mate koe i te wheketohe, te toto rānei i te puku, te mate whatukuhu, te mātārangi ngāku, te whakaeke ngākau, te whiu rānei, me te toto toto teitei kaore i whakahaerea
• He hapū koe, kei te ngana koe kia hapu, ā, kua 65 tau ki runga ake rānei koe
• Ka tango koe i ngā rongoā whakaheke toto, aspirin, SSRI, diuretics, me ngā ACE inhibitors

Ki te kei te whakaaro koe ko tehea NSAID te mea e tika ana ki tō hītori, he tino pai tērā te whakamahi i te $39 te utu o te ratonga hauora ohorere ipurangi a August, ka taea e tētahi tākuta raihana o Amerika te arotake i tō horopeta o nāianei, ngā rongoā kē atu, me ngā mea ka tupono koe, ā, ka whakatau mēnā he tika tonu he rongoā. Kāore e taea e te toro atu mā te ipurangi te aromātai i te toto o te puku, te mamae o te uma, te tohu whiu rānei. Ka hiahia ēnei ki tētahi ruuma whawhati tata. Mō ngā pakeke ake o te tau e tango ana i ngā NSAID mo te wa roa, he toro hauora ā-tau a Medicare he wāhi tūturu ki te arotake anō mēnā ka whai hua tonu te rongoā ki te tupono.

Ngā pātai auau

Ka taea e au te tango acetaminophen (Tylenol) me te meloxicam, naproxen rānei?

Te nuinga o te wā, ae. Ehara te acetaminophen i te NSAID, ā, kāore e mahi i runga i te ara prostaglandin e tiaki ana i te ara o te puku, nā reira ka honoa e ngā tākuta tēnei ki tērā mō te tiaki pai ake. Noho tonu i roto i te teitei o ia rā o te acetaminophen, ā, tatauria ngā matapuna katoa, tae atu ki ngā rongoā makariri me ngā rongoā mamae whakakotahi kua whai kē kē.

He haumaru te tango meloxicam me te naproxen i te wā e hapū ana?

Kao. Ehara tērā te kōwhiringa tuatahi i te wā e hapū ana, ā, ka karo te nuinga o ngā NSAID i te mutunga o te hapūtanga nō te pānga ki te rerenga toto o te kōpū me te rōrahi o te wai o te kōpū. Ki te he hapū koe, kei te ngana koe kia hapū, me te ngote u, ui atu ki tō tākuta kōpū i mua i te tango i tētahi rongoā, tae atu ki te Aleve kaore he rongoā, kaua e whakatau mai i te tapanga.

Me karo au i te waipiro i te wā e tango ana i te meloxicam, naproxen rānei?

Kāore rawa. Te nuinga o te wā kāore e rāhuitia tētahi inu noa, engari ka riri te waipiro me ngā NSAID i te ara o te puku mā ngā tikanga rerekē, na reira ka tini ake te whakakotahitanga. Tukua te waipiro katoa ki te mea kua wheketohe koe, kua toto rānei te puku, ā, kaua rawa e inu waipiro i te puku kau i te wā e tango ana koe i tētahi rongoā auau.

Ka taea e au te tango meloxicam, naproxen rānei ki te kei te tango ana ahau i te rongoā toto toto teitei, i te diuretic rānei?

I ētahi wa, me te tirotiro. Ka taea e ngā NSAID te whakapiki i te toto toto me te whakaiti i te painga o ngā rongoā whakaheke toto, ā, ka honoa ki te diuretic, ki te ACE inhibitor rānei ka whakaiti i te rerenga toto ki ngā whatukuhu. Kōrerohia ki tō tākuta mō ngā rongoā toto toto katoa e tangohia ana e koe kia taea ai te tirotiro i te mahi o ngā whatukuhu me te toto.

Me hiahia rānei ahau ki te whakamātau toto, whatukuhu rānei ki te noho tonu ahau ki tētahi rongoā mō te wa roa?

Āe, te nuinga o te wā. Ko te whakamahi NSAID mo te wa roa ka tika kia tirohia te hemoglobin, te mahi whatukuhu, ngā ngota ngota ate, me te toto toto, no te mea ka puta te toto me te ngenge whatukuhu kaore e kitea. Pātai atu ki tō tākuta me pēhea te auau, ā, whakatika i te hinga o te hemoglobin kaore i te tino whakamārama hei take ki te tirotiro i te mea kaore e tatari tonu.

Te mutunga o te kōrero mō te kōwhiri i waenganui i te meloxicam me te naproxen

Ko te whakatau meloxicam ki te naproxen he mea mō te pai, ehara i te kaha. E rite ana te whakaora i ngā horopeta paerewa, na reira kōwhiria te manawataki horopeta, tō puku me te tupono whatukuhu, me te pehea te whānui o tō mamae. Ko te painga o te meloxicam ki te puku he pono ki te 7.5 mg, ā, ka iti ake ki te 15 mg. E mau ana ngā mea e rua i te whakatūpato pouaka rite tonu, ā, kāore tētahi e tika ana hei NSAID haumaru mō te whakamahi roa kaore he tirotiro. Ko tō taahinga e whai ake nei ko tētahi kōrero: kawea mai tō horopeta o nāianei, tō rārangi rongoā katoa, me tō hītori puku, whatukuhu, me te ngākau ki tētahi tākuta i tēnā i te whakarerekē i a koe anō.

Whakakāhoretanga: Ko tēnei tuhinga mō ngā take mōhiohio anake, ā, kāore e rite ki te tohutohu hauora. Me whakapā tonu ki tētahi tohunga hauora whai raihana mō ngā whakatau tātaritanga me te rongoā. Ki te kei te wheako koe i tētahi mate hauora ohorere, waea atu ki te 911, haere rānei ki te ruuma whawhati tata tata tonu.