Simvastatin vs. Atorvastatin: Zvaunofanira Kuziva

Zvemukati
- Zvimwe zvinokanganisa
- Kutambudzika kwemhasuru
- Kuneta
- Kushungurudzika mudumbu uye manyoka
- Chiropa uye chirwere cheitsvo
- Kurohwa
- Yakakwira ropa shuga uye chirwere cheshuga
- Kudyidzana
- Kuwanika uye mutengo
- Iyo Yekutora
Nezve statins
Simvastatin (Zocor) uye atorvastatin (Lipitor) marudzi maviri ematemu ayo chiremba wako anogona kukuraira iwe. Statins inowanzo gadzirirwa kubatsira kudzikisa cholesterol yako. Sekureva kweAmerican College yeCardiology, statins inogona kubatsira kana iwe:
- une huwandu hwecholesterol mumidziyo yako yeropa
- une LDL, inozivikanwawo seyakaipa cholesterol, chiyero chakakura kupfuura mamirigiramu zana nedhirilita (mg / dL)
- une chirwere cheshuga, uri pakati pemakore makumi mana nemakumi manomwe nemashanu, uye une mwero weLDL uri pakati pe70 ne189 mg / dL, kunyangwe isina cholesterol yakawanda mumidziyo yako yeropa.
- une LDL iri pakati pe 70 mg / dL uye 189 mg / dL, iri pakati pemakore makumi mana nemakore makumi manomwe nemashanu, uye ine mukana unosvika 7.5 muzana panjodzi yekuti cholesterol inogona kuvaka mumidziyo yako yeropa.
Iyi mishonga yakafanana, iine madiki misiyano. Ona maitiro avanounganidza.
Zvimwe zvinokanganisa
Zvese simvastatin uye atorvastatin inogona kukonzera akasiyana mhedzisiro. Mimwe mhedzisiro mhedzisiro inowanzoitika ne simvastatin, uye mimwe ingangoita neatorvastatin.
Kutambudzika kwemhasuru
Ese statins anogona kukonzeresa kurwadziwa kwemhasuru, asi izvi zvinowanzoitika nekushandisa simvastatin. Kusuruvara kwemhasuru kunogona kukura zvishoma nezvishoma. Inogona kunzwa senge yakadhonzwa mhasuru kana kuneta kubva mukurovedza muviri. Fonera chiremba wako nezve chero marwadzo matsva aunayo paunotanga kutora statin, kunyanya simvastatin. Kusuruvara kwemhasuru kunogona kuve chiratidzo chekuvandudza matambudziko eitsvo kana kukuvara.
Kuneta
Chikamu cheparutivi chinogona kuitika pamwe nechinodhaka kuneta. Chidzidzo chakapihwa mari ne (NIH) chakafananidza kuneta muvarwere vakatora madosi mashoma emusvastatin uye mumwe mushonga unonzi pravastatin. Vakadzi, kunyanya, vane njodzi yekuneta kubva kumatemins, kunyangwe zvakanyanya kubva kuSimvastatin.
Kushungurudzika mudumbu uye manyoka
Ose madhiragi anogona kukonzera dumbu kushungurudzika uye manyoka. Iyi mhedzisiro inowanzo gadzirisa mukati memavhiki mashoma.
Chiropa uye chirwere cheitsvo
Kana iwe uine chirwere cheitsvo, atorvastatin inogona kunge iri sarudzo yakanaka kwauri nekuti hapana chikonzero chekugadzirisa muyero. Kune rimwe divi, simvastatin inogona kukanganisa itsvo dzako kana dzikapihwa padanho repamusoro (80 mg pazuva). Zvinogona kunonoka itsvo dzako. Simvastatin zvakare inovaka mune yako system nekufamba kwenguva. Izvi zvinoreva kuti kana iwe ukaitora kwenguva yakareba, huwandu hwemushonga mune yako system unogona kunyatso kuwedzera. Chiremba wako angafanirwa kugadzirisa yako muyero.
Nekudaro, zvichibva pamhedzisiro kubva kuongororo ya2014 neiyo, panogona kunge paine njodzi yakawedzera yekukuvara kweitsvo pakati peyakanyanya-dose simvastatin uye yakakwira-dose atorvastatin. Uyezve, madhiri esimvastatin akakwirira se80 mg pazuva haachawanzo kujairika.
Vanhu vashoma vanotora statins vanovandudza chirwere chechiropa. Kana iwe wakasviba weti kana kurwadziwa parutivi rwako uchitora chero chinodhaka, danaidza chiremba wako nekukasira.
Kurohwa
Muyero wepamusoro weatorvastatin (80 mg pazuva) inosanganisirwa nenjodzi yakakwira yechirwere chekubuda ropa kana iwe uchinge warwara neschemic sitiroko kana kushomeka kwechischemic kurwisa (TIA, dzimwe nguva kunonzi mini sitiroko), mumwedzi mitanhatu yekupedzisira.
Yakakwira ropa shuga uye chirwere cheshuga
Zvese simvastatin uye atorvastatin inogona kuwedzera shuga yako yeropa uye njodzi yako yekukura chirwere cheshuga. Ese ma statins anogona kuwedzera hemoglobin yako A1C nhanho, inova chiyero chenguva refu mashuga eropa.
Kudyidzana
Kunyangwe grapefruit isiri mushonga, vanachiremba vanokurudzira kuti iwe urege kunwa yakawanda yakawanda ye grapefruit kana grapefruit muto kana iwe ukatora statins. Izvi zvinodaro nekuti kemikari iri mugapefruit inogona kukanganisa kuputsika kwemamwe ma statins mumuviri wako. Izvi zvinogona kuwedzera mwero we statins muropa rako uye kuwedzera mukana wako wemhedzisiro mhedzisiro.
Ose simvastatin uye atorvastatin anogona kusangana nemimwe mishonga. Iwe unogona kuwana yakatsanangurwa rondedzero yekudyidzana kwavo muHealthline zvinyorwa pane simvastatin uye atorvastatin. Sezvineiwo, atorvastatin inogona kudyidzana nemapiritsi ekuberekwa.
Kuwanika uye mutengo
Ose maviri simvastatin uye atorvastatin mapiritsi akafukidzwa nefirimu iwe aunotora nemuromo, kazhinji kamwe pazuva. Simvastatin inouya pasi pezita rekuti Zocor, nepo Lipitor iri iro zita reatorvastatin. Imwe neimwe inowanikwa seyakajairika chigadzirwa, zvakare. Iwe unogona kutenga chero chinodhaka mumafarasi mazhinji uine mushonga kubva kuna chiremba wako.
Iyo mishonga inowanikwa mune anotevera masimba:
- Simvastatin: 5 mg, 10 mg, 20 mg, 40 mg, uye 80 mg
- Atorvastatin: 10 mg, 20 mg, 40 mg, uye 80 mg
Iyo inodhura ye generic simvastatin uye atorvastatin ese ari maviri akaderera, iine generic simvastatin iri zvishoma zvishoma kudhura. Iyo inouya mukati ingangoita madhora gumi kusvika gumi nemashanu pamwedzi. Atorvastatin inowanzoita $ 25-40 pamwedzi.
Iwo ezita rezita madhiragi anodhura zvakanyanya kupfuura avo ejeniki. Zocor, iyo mhando ye simvastatin, iri madhora mazana maviri kusvika mazana maviri nemakumi mashanu pamwedzi. Lipitor, iyo brand yeatorvastatin, inowanzoita $ 150-200 pamwedzi.
Saka kana iwe uri kutenga iyo generic, simvastatin yakachipa. Asi kana zvasvika kune zita rezita-zita, atorvastatin haina kudhura.
Iyo Yekutora
Chiremba wako anozotarisa zvinhu zvakawanda kana uchikurudzira kurapwa ne statin senge simvastatin uye atorvastatin. Kazhinji, kusarudza chakakodzera chinodhaka kushoma pakuenzanisa mishonga yacho kune mumwe nemumwe uye zvakawanda nezve kuenzanisa kusangana kunogona kuitika uye mhedzisiro yemushonga wega wega neyako yekurapa nhoroondo uye imwe mishonga yaunotora.
Kana iwe parizvino uchitora simvastatin kana atorvastatin, bvunza chiremba wako mibvunzo inotevera:
- Sei ndiri kutora mushonga uyu?
- Mushonga uyu unondishandira zvakadii?
Kana iwe uine mhedzisiro senge kurwadziwa kwemhasuru kana weti yakasviba, taura nachiremba wako ipapo ipapo. Zvisinei, usarega kutora statin yako usingatauri nachiremba wako. Statins inoshanda chete kana ikatorwa mazuva ese.