Ungathenga i-Azelastine Ngaphandle Kwekhawunta? (Yebo, Nansi Okufanele Ukwazi)

Uma ubilokhu ufuna i-azelastine futhi ubona imininingwane ephikisanayo mayelana nokuthi ingeyokudayisa ngaphandle kwekhawunta noma idinga incwadi kadokotela, siyakuqonda kakhulu ukudideka. Impendulo eqinisayo incike kuphela kuhlobo oludingayo:

• I-Astepro (i-azelastine 0.15% nasal spray): Lokhu sekutholakale ngaphandle kwekhawunta kusukela ngo-2021 kuyo yonke imitholampilo enkulu yase-US.
• Amaconsi amehlo e-Azelastine (i-Optivar): Leli fomu elihloswe ngqo lisadinga incwadi kadokotela.
• I-Dymista (i-azelastine + fluticasone): Lesi-spray esinamandla esihlanganisiwe sihlala sikhona kuphela ngencwadi kadokotela.

Leli bhukwana lichaza ngokucacile ukuthi yimiphi imikhiqizo ye-azelastine etholakala ngaphandle kwekhawunta, yimiphi esadinga incwadi kadokotela, nokuthi ungawathola kanjani amafomu eredisidi ku-inthanethi ngokushesha uma ikhona into oyidingayo.

Yimaphi imikhiqizo ye-azelastine etholakala ngaphandle kwekhawunta?

Nansi imininingwane ngamafomu e-azelastine nesimo sawo samanje:

I-FDA yaguqulela i-Astepro isimo sokuba ngaphandle kwekhawunta ngo-2021, yenza yaba yi-antihistamine nasal spray yokuqala etholakala ngaphandle kwencwadi kadokotela. Isiqondiso esivela ku-GoodRx siqinisekisa ukuthi i-Astepro ihlala iyona kuphela ifomu le-azelastine elinesimo sokuba ngaphandle kwekhawunta. Uma isiza ibika ukuthi "amaconsi amehlo e-azelastine OTC" noma "i-Dymista ngaphandle kwekhawunta," leyo mininingwane ayilona iqiniso ezitolo zemithi zase-US.

Kungani kukhona amafomu athile kuphela atholakala ngaphandle kwekhawunta?

I-FDA ihlukanisa imithi ngokusekelwe ekuvikelekeni nasebunzimeni bokuxilonga. Nasi isizathu sokuthi i-Astepro yashintshelwa ekubeni ngaphandle kwekhawunta kanti amanye amafomu e-azelastine awazange:

• I-Astepro yabonakala iphephile. Ngemuva kweminyaka eyi-15 yokusetshenziswa okubanzi ngencwadi kadokotela, idatha yokuphepha ephelele yasekelwa kakhulu isimo sayo sokuba ngaphandle kwekhawunta.
• Ukuvaleka kwempumulo kuyazixilonga. Abasebenzisi bangazibona kalula izimpawu ezivamile ze-allergic rhinitis ngaphandle kosizo lodokotela.
• Amaconsi amehlo adinga ukubhekwa odokotela. Izifo zamehlo ezivamile zihambelana kakhulu nezinye izinkinga (njengamehlo omile, izifo zamagciwane, noma i-glaucoma) ezidinga ukuxilongwa okuhleliwe kudokotela.
• I-Dymista iqukethe i-steroid. Ama-spray ahlanganisiwe aqukethe i-fluticasone adinga ukuhlolwa kudokotela ukuze kunqunywe ukuthi afanele yini kuwe.
• Amafomu anamandla aphezulu angaba nomthelela omkhulu emiphumeleni engemihle, okudinga ukuqondiswa njalo kudokotela.

Nini lapho udinga amafomu e-azelastine eredisidi

Cabanga ngokuthola incwadi kadokotela uma uhlangabezana noku:

• I-Allergic conjunctivitis (amehlo alumayo, amanzi) angaphenduli kahle kumaconsi amehlo avamile atholakala ngaphandle kwekhawunta.
• I-Chronic allergic rhinitis lapho i-Astepro etholakala ngaphandle kwekhawunta yodwa ingakwazi ukulawula ngokugcwele izimpawu zakho.
• Ukuvuvukala okuhlanganisiwe okungazuza kufomu le-Dymista elinamandla elenziwa kabili (i-azelastine + fluticasone).
• Izimpawu ezingaphenduli kumhlanganisela we-Astepro etholakala ngaphandle kwekhawunta kanye ne-nasal steroid etholakala ngaphandle kwekhawunta (njenge-Flonase).
• I-Recurrent allergic conjunctivitis edinga ukwelashwa okuqine kakhulu, okuhloswe ngqo.

Ngesiqondiso esijwayelekile sokungezwani komzimba kanye nemikhiqizo ehlanganisiwe etholakala ngaphandle kwekhawunta esebenza kahle, bona Ukwelashwa Kokungezwani Komzimba.

Ungawathola kanjani amafomu e-azelastine eredisidi ku-inthanethi

Ukuthola incwadi kadokotela esemthethweni yamaconsi amehlo e-Optivar noma i-Dymista ngokusebenzisa i-telehealth kulula futhi akunandaba:

• Ukuthola ulwazi ngezimpawu: Bachazele izimpawu zakho, ukuthi yimaphi amathuluzi atholakala ngaphandle kwekhawunta obewasebenzise kakade, nanoma ikuphi ukusetshenziswa kwe-azelastine okwenzekile ngaphambili.
• Ukubonisana ngevidiyo: Udokotela onelayisensi uhlola icala lakho, ngokuvamile kungakapheli imizuzu ngevidiyo noma ingxoxo engahleliwe.
• I-e-prescription: Incwadi yakho kadokotela ye-Optivar noma i-Dymista ingadluliselwa ngqo emtholampilo wakho ukuze uthathe kalula, ngosuku olufanayo.

Isamba sezindleko: Ukubonisana nge-telehealth ($19–$75) + amaconsi amehlo e-azelastine jikelele ($15–$30) noma i-Dymista ($60–$150 ngaphandle komshwalense, noma $30–$50 nge-GoodRx) = cishe $35–$225 inani eliphelele lweziguli ezikhokha ngemali.

Thola amafomu e-azelastine eredisidi nge-August AI

Kubantu abadala abaningi abadinga i-Optivar noma i-Dymista, i-August AI inikeza indlela esheshayo, emnene yokuthola incwadi yakho kadokotela:

• Ukuhlolwa kudokotela onelayisensi okwenziwa ngokubonisana ngevidiyo eyimfihlo, ecolekile.
• I-e-prescription ye-Optivar noma i-Dymista lapho ungathatha khona ngosuku olufanayo emtholampilo wakho.
• Isiqondiso esiqotho. Uma i-Astepro etholakala ngaphandle kwekhawunta ingasebenza ngokufanayo esikhundleni sakho, umhlinzeki wakho uzokutshela ngqo.
• Intengo eyodwa elula engu-$39 ngaphandle kwezimali zobulungu nanoma yimuphi umshwalense.

Ulungele i-azelastine eredisidi? Vakashela i-August AI Online Urgent Care ukuze uxhumane nodokotela onelayisensi kungakapheli imizuzu.

Imibuzo ejwayelekile ukubuzwa

Ngabe i-Azelastine nasal spray itholakala ngaphandle kwekhawunta?

Yebo, i-Astepro (i-azelastine 0.15%) itholakala ngaphandle kwekhawunta kuyo yonke imitholampilo enkulu yase-US cishe ngo-$18–$25 ibhodlela ngalinye. Yaba ngaphandle kwekhawunta ngo-2021 njenge-antihistamine nasal spray yokuqala etholakala ngaphandle kwencwadi kadokotela. Kodwa-ke, i-0.1% eyenziwa ngaphambili kanye nama-spray ahlanganisiwe eredisidi afana ne-Dymista asadinga incwadi kadokotela.

Ngingathenga kanjani i-Azelastine ngaphandle kwekhawunta?

I-Astepro itholakala kabanzi ku-CVS, Walgreens, Walmart, Target, Costco, Amazon, kanye nezitholampilo eziningi ezinkulu zase-US. Ungayithola esigodini semithi yokuqeda ukungezwani komzimba eduze kwamanye ama-nasal spray avamile njenge-Flonase ne-Nasacort. Izintengo ngokuvamile zisukela ku-$18–$25 ibhodlela elingu-30ml, elinikeza cishe inyanga yokusebenzisa nsuku zonke.

Ngabe amaconsi amehlo e-Azelastine ayatholakala ngaphandle kwekhawunta?

Cha. Amaconsi amehlo e-Azelastine (i-Optivar) ahlala edinga incwadi kadokotela e-United States. Uma udinga i-azelastine ngqo ukuze welaphe amehlo alumayo, angenawo umoya, uzodinga incwadi kadokotela. Izindlela eziphephile zokwelapha izimpawu zamehlo zokungezwani komzimba zifaka i-ketotifen (i-Zaditor, i-Alaway) noma i-olopatadine (i-Pataday), okuyizimbazo ezisebenza kakhulu zamaconsi amehlo e-antihistamine atholakala ngaphandle kwencwadi kadokotela.

Ngabe i-Dymista itholakala ngaphandle kwekhawunta?

Cha. I-Dymista (i-azelastine + fluticasone combination spray) idinga ngokuqinile incwadi kadokotela ngoba iqukethe i-antihistamine enamandla kanye ne-corticosteroid. Leli fomu elenziwa kabili linamandla kakhulu kunanoma iyiphi indlela etholakala ngaphandle kwekhawunta yodwa. Uma udinga i-Dymista, ukubonisana okusheshayo kwe-telehealth kungahlola izimpawu zakho futhi ikunikeze incwadi uma kufanele khona ukuze uthathe ngosuku olufanayo emtholampilo.

Ububanzi kangakanani u-Astepro ububanzi ku-OTC?

I-Astepro OTC ngokuvamile ibiza phakathi kuka-$18 no-$25 ibhodlela elingu-30ml ezitolo zemithi eziningi zase-US. Izinhlobo zegeneric ezibhalwe isitolo (ezibhalwe ngokuthi "azelastine nasal spray" ezivela ku-CVS Health, Walgreens, noma i-Amazon Basic Care) zingaba ngaphansi kancane, ngokuvamile zisukela ku-$15–$20. Ibhodlela elilodwa linikeza cishe izinsuku ezingama-30 zokusetshenziswa okujwayelekile kwansuku zonke.

Ngabe i-Telehealth ingakunikeza incwadi kadokotela ye-Optivar noma i-Dymista ngosuku olufanayo?

Yebo. Abahlinzeki be-telehealth abanelayisensi bangahlola kahle izimpawu zakho zokungezwani komzimba ngevidiyo futhi bakunikeze i-e-prescription yamaconsi amehlo e-Optivar noma i-nasal spray ye-Dymista ukuze uthathe ngosuku olufanayo emtholampilo wakho. Izindleko eziphelele zokukhokha ngemali ngokuvamile zisukela ku-$35 kuya ku-$225, kuye ngokuthi ifomu eliqondile nokuthi usebenzisa izaphulelo ze-GoodRx noma ze-Cost Plus Drugs.