Ungakwazi Ukuthenga i-Hydroxyzine Ngaphandle Kwesilipha? (Cha, Nansi Indlela Yokwenza)

Uma wake wathatha i-hydroxyzine ngaphambili nge-anxiety, ukulunywa okungapheli, noma izimpawu zokungezwani komzimba, siyakuqonda ukuthi kungani ungathanda ukuyithola ngokushesha ku-CVS noma ku-Walgreens ngesikhathi esilandelayo lapho izimpawu zakho zivuswa khona. Impendulo eqotho ukuthi i-hydroxyzine ayitholakali ngaphandle kwesilipha e-United States. Wonke amafomu namandla adinga ngokuqinisekile iresiphi, noma ngabe ufuna izinhlobo ezinjenge-Atarax, Vistaril, noma i-generic hydroxyzine.

Izindaba ezinhle ukuthi i-hydroxyzine ayibizi kakhulu, futhi i-telehealth yesimanje yenza ukuthola iresiphi ngokushesha ngempela. Lo mhlahlandlela uhlanganisa ukuthi kungani i-hydroxyzine ihlala idinga iresiphi, yimaphi amanye amathuluzi angaphandle kwesilipha angasiza ngezinhlobo ezahlukene zokusetshenziswa, nokuthi ungayithola kanjani iresiphi esemthethweni ku-inthanethi, ngaphansi kwehora.

Kungani i-hydroxyzine idinga iresiphi?

I-Hydroxyzine yi-antihistamine yesizukulwane sokuqala, kodwa isebenza ngendlela ehlukile kakhulu kwezinye izindlela zokuphepha ezitholakala ngaphandle kwesilipha njenge-Benadryl. I-FDA iyayicindezela ngezizathu eziningana ezibalulekile zezokwelapha:

• Indlela yokusebenza kabili: Ngokungafani ne-antihistamines elula etholakala ngaphandle kwesilipha, i-hydroxyzine ivimbela i-histamine futhi ithonya kancane i-chemistry yobuchopho ukwehlisa i-anxiety.
• Izinkomba ze-anxiety zidinga ukugadwa: Njengoba iphatha izifo ze-anxiety, umelaphi kumele ahlolisise umlando wakho ukuze aqinisekise ukuthi i-hydroxyzine iyindlela ephephile futhi efanele kakhulu uma iqhathaniswa nezinye izindlela.
• Ingozi enkulu yokulala: Inomthelela wokulala onamandla kakhulu kune-antihistamines ejwayelekile etholakala ngaphandle kwesilipha, okudinga ukulungiswa komthamo ngokucophelela.
• Ukuxhumana neminye imithi kubalulekile: I-Hydroxyzine ingaxhumana kakhulu notshwala, ama-opioids, ezinye izidambisi, neminye imithi eyandisa isikhathi se-QT.
• Ayifaneleki kubo bonke: Ayiphephile ukusetshenziswa ekuqaleni kokukhulelwa, ezinkingeni ezithile zesigqi senhliziyo, kanye nakubantu abadala abanokuthambekela ezinkingeni zokuqonda.
• Izinto eziphathelene nenhliziyo: Emithambeni ephakeme, ingadala ukwelulekwa kwe-QT, okudinga ukucatshangelwa kwezokwelapha kanye nokuqapha ezigulini ezisengozini.

I-Hydroxyzine ibingadinga iresiphi kusukela i-FDA yayigunyaza ngo-1956 futhi ngeke iguqulele isimo sokuba ngaphandle kwesilipha.

Yimaphi amanye amathuluzi angaphandle kwesilipha asebenza kwezinhlobo ezithile zokusetshenziswa?

Ngenkathi kungekho zindlela ezingaphandle kwesilipha ezinganqamula i-hydroxyzine, kunezinye izindlela eziningana ezinganikeza induduzo kuye ngokuthi yini oyiphathayo:

Ukuze uthole ukulunywa okungapheli nezindlwane:

• I-Diphenhydramine (Benadryl): I-antihistamine yesizukulwane sokuqala etholakala ngaphandle kwesilipha. Iyona efana kakhulu ne-hydroxyzine yokuphatha ukulunywa okunzima, yize ibangela ukozela okubonakalayo ( $8–$12).
• I-Cetirizine (Zyrtec): I-antihistamine yesizukulwane sesibili enikeza ukukhululeka kosuku lonke ngokulala okuncane ( $10–$20).
• I-Fexofenadine (Allegra): Indlela yokuphepha engadali ukulala yokuphatha izimpawu zokungezwani komzimba nsuku zonke ( $10–$20).

Ngezimpawu zokungezwani komzimba:

• Ama-antihistamines ansuku zonke afanayo adweliswe ngenhla angaphatha izimpawu ezijwayelekile ezivame ukwenzeka emzimbeni wonke.
• I-Hydrocortisone 1% cream: Ilungele ukuthulisa izindawo ezithile zesikhumba ezilimazekile, ezibomvu, nokuvuvukala ( $6–$12).

Ukuze uthole i-anxiety nokulala:

• I-Diphenhydramine (Benadryl): Ivame ukusetshenziswa ngaphandle kwesilipha ezinkingeni zokulala ezingavamile, yize inganconywa njengesixazululo esihlala njalo.
• I-Doxylamine (Unisom): I-antihistamine efanayo yesizukulwane sokuqala etholakala ngaphandle kwesilipha esetshenziswa ngokukhethekile ngezinto zayo ezidala ukulala.
• I-Magnesium, i-melatonin, noma i-L-theanine: Amasupplementi okudla athambile anobufakazi obumodest bokusekela ukuphumula nemijikelezo enempilo yokulala.
• Izindlela ezingezona ezemithi: Ukusebenzisa i-Cognitive Behavioral Therapy for Insomnia (CBT-I), ukusebenzisa izinhlelo zokusebenza zokuzindla, ukuzivocavoca, nokugcina imikhuba yokulala evame ukwenzeka.

Inothi elibalulekile: Ama-antihistamines atholakala ngaphandle kwesilipha angakwazi ukuphatha ukulunywa okubucayi kakhulu nezimpawu zokungezwani komzimba ezincane, kodwa awanawo ngokuphelele umphumela we-hydroxyzine owenzelwe i-anxiety. Uma ufuna i-anxiolytic esebenza kahle evimbela izingozi zezidakamizwa ezilawulwayo, i-hydroxyzine yinto abaningi abayidingayo ukuze bathole iresiphi esemthethweni.

Lapho Udinga Ngempela i-Hydroxyzine

Cabanga ukuxoxa ngencwadi kadokotela nomhlinzeki uma ubhekene nalezi zinkinga:

• Izifo ze-Anxiety lapho kuncanyelwa khona indlela engalawulwa, engakhiqizi ukulutha.
• I-Chronic idiopathic urticaria (izindlwane) ehlulekayo ukuthuthuka ngama-antihistamines ajwayelekile atholakala ngaphandle kwesilipha.
• I-Severe atopic dermatitis ehambisana nokulunywa okubukhali okuphazamisa ukulala kwakho.
• I-Anxiety yesimo evuswa yimicimbi ezayo njengemishayo yamazinyo, ukundiza, noma izinqubo ezincane zezokwelapha.
• Ukusekelwa okungemuva kokuhlinzwa ukusiza ukunciphisa i-anxiety ebukhali noma isicanucanu ngesikhathi sokululama.
• Ukuphathwa kwe-Anxiety ezigulini ezigwema ngokuqonda i-benzodiazepines ngenxa yezinkinga zokulutha.
• Ukusekelwa kokuyeka utshwala ngaphansi kokuqondiswa kwezokwelapha okuseduze.

Ngenhloso yokwelapha okuhlobene nokungezwani komzimba nokulunywa, bona i-Allergy Treatment.

Ungayithola Kanjani i-Hydroxyzine Ngokupreskriwa Ku-inthanethi

Ukuthola iresiphi ye-hydroxyzine esemthethweni nge-telehealth kulula futhi kuphephile:

• Isinyathelo 1: Ukufaka izimpawu. Chaza kancane izimpawu zakho (njenge-anxiety, izindlwane, noma ukulunywa okungapheli), noma yikuphi okuhlangenwe nakho kwangaphambili nge-hydroxyzine, nemithi yakho yamanje.
• Isinyathelo 2: Ukuxhumana nodokotela okubonakalayo. Udokotela onemvume ubuyekeza uhlu lwakho lwezempilo futhi uhlolisise icala lakho, ngokuvamile ngemizuzu ngengxoxo yevidiyo noma ingxoxo engabandakanyi isikhathi.
• Isinyathelo 3: Ukutholwa kwesifo nesimo sokwelashwa. Umhlinzeki wakho uqinisekisa ukuthi i-hydroxyzine ifanele yini futhi uphakela umthamo ofanele (10mg, 25mg, noma 50mg) kanye nomkhawulo wokusebenzisa.
• Isinyathelo 4: I-e-prescription. Iresiphi yakho evamile ithunyelwa ngqo kumakhemisi akho owathandayo ukuze uthathe usuku olufanayo kalula, ngokuvamile ilungele ukuthathwa ngemizuzu emi-1 kuye kwengu-4.

Inani eliphelele lendlela: Ukuxhumana nodokotela nge-telehealth ( $19–$75) + i-generic hydroxyzine ( $5–$15 ngokunikezwa kwenyanga eyi-30) = cishe $25–$90 sezizonke kubagula abakhokha ngemali. I-Generic hydroxyzine ayibizi kakhulu, okwenza ukufinyelela ku-inthanethi kufinyeleleke ngempela.

Thola iresiphi ye-hydroxyzine nge-August AI

Kubantu abadala abaningi abafuna ukukhululeka okuthembekile, i-August AI ihlinzeka ngendlela esheshayo, esekelisayo yokuthola iresiphi:

• Ukuhlolwa kukadokotela onemvume okwenziwa ngokuxhumana kwevidiyo eyimfihlo necebile.
• I-e-prescription ye-generic hydroxyzine ngokuthathwa kalula kukamakhemisi ngosuku olufanayo lapho kufanele ngokwezokwelapha.
• Isiqondiso esiqotho, esiqonde phambili. Uma indlela yokwelapha etholakala ngaphandle kwesilipha njenge-Zyrtec noma i-Benadryl kufanele isebenze njengokuhle esimweni sakho, umhlinzeki wakho uzokutshela ngokuqonda.
• Inani elihle elingama- $39 elingaguquguqukiyo ngaphandle kwezibopho zobulungu noma umshwalense.

Imibuzo Evame Ukubuzwa

Ingabe i-hydroxyzine itholakala ngaphandle kwesilipha noma kuphi e-US?

Cha. I-Hydroxyzine (Atarax, Vistaril) idinga iresiphi kuzo zonke amakhemisi ase-US afaka i-CVS, Walgreens, Walmart, Costco, ne-Target. Amanye amazwe athengisa ama-antihistamines ngaphandle kwesilipha, kodwa ukungenisa imithi evela kwamanye amazwe ngokungemthetho e-US. I-Telehealth yenza ukuthola iresiphi esemthethweni ngokushesha futhi kube nemali ephansi.

Yini indlela eliseduze yokuthola i-hydroxyzine engaphandle kwesilipha?

I-Diphenhydramine (Benadryl) iyona eliseduze kakhulu yokwelashwa kokulunywa okungapheli nezimpawu zokungezwani komzimba ezincane njengoba zombili ziyizinhlobo zokuqala ze-antihistamines. Kodwa-ke, akukho ndlela eyodwa etholakala ngaphandle kwesilipha efana nomphumela oqondile we-hydroxyzine we-anxiety. Uma udinga i-hydroxyzine ngokukhethekile nge-anxiety, i-version kuphela edinga iresiphi ezokunikeza lowo mphumela wokusebenza kabili.

Ingabe i-hydroxyzine ilawulwa kakhulu?

Cha. I-Hydroxyzine idinga iresiphi kodwa ayilawulwa kakhulu. Lokhu kubalulekile ezigulini ezifuna ukwelashwa kwe-anxiety ngoba kusho ukuthi ayikho imikhawulo ye-DEA, ayikho imikhawulo yokugcwalisa, kanye namaresiphi asemthethweni e-telehealth kuzo zonke izifunda zase-US. Ngokungafani ne-benzodiazepines (Xanax, Ativan), i-hydroxyzine ayinayo ingozi yokulutha.

Kubiza malini i-hydroxyzine ngencwadi kadokotela?

I-Generic hydroxyzine ayibizi kakhulu. I-Generic hydroxyzine HCl (Atarax) ibiza kusuka ku- $5 kuye ku- $15 ngokunikezwa kwenyanga eyi-30 ne-GoodRx noma i-Cost Plus Drugs. I-Generic hydroxyzine pamoate (Vistaril) ifana kakhulu. Ngisho nangaphandle kwezaphulelo, amakhemisi amaningi akukhokhiswa ngaphansi kwama- $25. I-FDA ifuna ama-generics afane ngokwegazi, ngakho-ke akukho sizathu sezokwelapha sokukhokhela uhlobo.

Ngingathola i-hydroxyzine ku-inthanethi ngosuku olufanayo nge-anxiety?

Yebo. Abahlinzeki be-telehealth onemvume bangahlola izimpawu zakho ze-anxiety ngevidiyo futhi baphakele i-hydroxyzine ukuze uthathe emakhemisi ngosuku olufanayo. Njengoba i-hydroxyzine ingalawulwa, ingenye yamaresiphi e-anxiety asheshayo atholakala ku-inthanethi. Inani eliphelele lokukhokha ngemali ngokuvamile libiza kusuka ku- $25 kuye ku- $90 kuhlanganise nokuxhumana nodokotela nemithi evamile.

Kukhona yini izici ezibi okufanele ngizazi?

Yebo. Isici esibi esivamile kakhulu ukulala, ikakhulukazi emithambeni ephakeme, yingakho kuvame ukuthathwa ebusuku. Ezinye izici ezibi zihlanganisa umlomo owomile, umbono ongacacile, kanye nesizungu. Gwema utshwala ngenkathi uyithatha, futhi ungahlanganisi nezinye izidambisi ngaphandle kokuqondiswa ngumhlinzeki. Izimo ezingavamile kodwa ezingathi sína zihlanganisa ukwelulekwa kwe-QT emithambeni ephakeme.