Simvastatin vs. Atorvastatin: He aha kāu e ʻike ai

Anter

• Nā hopena ʻaoʻao
• ʻEha ʻeha
• Ka luhi
• Hoʻopili i ka ʻōpū a me ka diarrhea
• ʻO ka maʻi akepaʻa a me ka hakuʻala
• Hahau
• ʻO ke kō kiʻekiʻe a me ka maʻi kō
• Nā launa pū
• Loaʻa a me ke kumukūʻai
• Lawe ʻia

E pili ana i nā statins

ʻO Simvastatin (Zocor) a me atorvastatin (Lipitor) ʻelua mau ʻano statins a ke kauka e kuhikuhi ai nāu. Kauoha pinepine ʻia ʻo Statins e kōkua i ka hoʻohaʻahaʻa ʻana i kāu kolesterol. Wahi a ka American College of Cardiology, hiki i nā statins ke kōkua inā ʻoe:

• loaʻa i ka buildup o ka kolesterol i loko o kou mau kīʻaha koko
• loaʻa kahi LDL, i ʻike ʻia ma ke ʻano he kolesterol maikaʻi, pae kiʻekiʻe ma mua o 190 milligrams per deciliter (mg / dL)
• he maʻi diabetes, aia ma waena o 40 a me 75 mau makahiki, a loaʻa ka pae LDL ma waena o 70 a me 189 mg / dL, ʻoiai me ka ʻole o ke kō ʻana o ka kolesterol i loko o kou mau kīʻaha koko.
• Loaʻa iā LDL ma waena o 70 mg / dL a me 189 mg / dL, aia ma waena o 40 mau makahiki a me 75 mau makahiki, a ma ka liʻiliʻi he 7.5 pākēneka makaʻu e hiki ai i ka kolesterol ke kūkulu i loko o kou mau kīʻaha koko.

Ua like kēia mau lāʻau, me nā ʻokoʻa liʻiliʻi. E ʻike pehea lākou e ahu ai.

Nā hopena ʻaoʻao

Hiki i nā simvastatin a me atorvastatin ke kumu i nā hopena maikaʻi ʻole. Kūpono kekahi mau hopena ʻē aʻe me simvastatin, a ʻo kekahi me ka atorvastatin.

ʻEha ʻeha

Hiki i nā statins āpau ke hōʻeha i ka ʻeha o ka mākala, akā ʻoi aku ka hopena o kēia hopena me ka hoʻohana simvastatin. Hiki ke ulu mālie ka ʻeha puʻupuʻu. Hiki iā ia ke manaʻo e like me kaʻiʻo i huki ʻia a i ʻole ka luhi mai ka hoʻoikaika kino. Kāhea i kāu kauka e pili ana i nā ʻeha hou i loaʻa iā ʻoe ke hoʻomaka ʻoe e lawe i kahi statin, ʻo ia hoʻi ʻo simvastatin. Hiki i ka ʻehaʻeha ke hōʻailona o ka hoʻomohala ʻana i nā pilikia o ka puʻupaʻa a i ʻole ka hōʻino ʻana.

Ka luhi

ʻO kahi hopena i hiki ke hana ʻia me nā lāʻau ʻelua ka luhi. Hoʻohālikelike kahi haʻawina i hoʻopaʻa ʻia e ka (NIH) luhi i nā mea maʻi i lawe i nā kau liʻiliʻi o simvastatin a me kekahi lāʻau i kapa ʻia ʻo pravastatin. ʻO ka wahine, ʻoi aku ka nui o ka pilikia o ka luhi mai statins, ʻoiai ʻoi aku ka nui mai ka simvastatin.

Hoʻopili i ka ʻōpū a me ka diarrhea

Hiki i nā lāʻau ʻelua ke hoʻonāukiuki i ka ʻōpū a me ka diarrhea. Hoʻoholo pinepine kēia mau hopena ʻaoʻao i loko o kekahi mau pule.

ʻO ka maʻi akepaʻa a me ka hakuʻala

Inā loaʻa ʻoe i ka maʻi puʻupaʻa, hiki i ke atorvastatin ke koho maikaʻi loa nāu no ka mea ʻaʻohe pono e hoʻoponopono i ke ana. Ma ka ʻaoʻao ʻē aʻe, hiki i ka simvastatin ke hoʻopili i kou mau puʻupaʻa ke hāʻawi ʻia ma ke kiʻekiʻena kiʻekiʻe (80 mg i kēlā me kēia lā). Hiki iā ia ke hoʻolohi i kou mau puʻupaʻa. Kūkulu pū ʻo Simvastatin i kāu ʻōnaehana ma kahi o ka manawa. ʻO ke kumu kēia inā ʻoe e lawe ia no kahi manawa lōʻihi, hiki ke hoʻohui ʻia ka nui o ka lāʻau i loko o kāu ʻōnaehana. Pono paha kāu kauka e hoʻoponopono i kāu mea hana.

Eia nō naʻe, e pili ana i nā hopena mai kahi noi 2014 e ka, ʻaʻohe paha he nui ka nui o ka hōʻeha ʻana o ka puʻupaʻa ma waena o ka simvastatin kiʻekiʻe a me ka atorvastatin kiʻekiʻe. ʻO ka mea hou aku, ʻaʻohe mea maʻamau ka nui o nā dosages o ka simvastatin ma mua o 80 mg i kēlā me kēia lā.

ʻO kekahi poʻe e lawe i nā statins e hoʻomohala i ka maʻi ate. Inā ua ʻeleʻele ʻoe i ka mimi a ʻeha paha ma kou ʻaoʻao i ka wā e lawe ana i kekahi lāʻau, e kāhea koke aku i kāu kauka.

Hahau

ʻO kahi mahele kiʻekiʻe o atorvastatin (80 mg i kēlā me kēia lā) e pili ana me ka nui o ka maʻi hemorrhagic inā loaʻa ʻoe i kahi maʻi ischemic a i ʻole hoʻouka ischemic kuikawa (TIA, i kapa ʻia i kekahi manawa he pākuʻi liʻiliʻi), i nā mahina ʻeono i hala.

ʻO ke kō kiʻekiʻe a me ka maʻi kō

Hiki i ka simvastatin a me ka atorvastatin ke hoʻonui i kou kō kō a me kou makaʻu i ka ulu ʻana i ka maʻi kō. E hoʻonui paha nā statins āpau i kāu pae hemoglobin A1C, kahi ana o nā pae kō kō wā lōʻihi.

Nā launa pū

ʻOiai ʻaʻole ka lāʻau grapefruit i lāʻau lapaʻau, koi nā kauka e hōʻalo i ka ʻai ʻana i ka nui o ka huaʻulu a i ʻole ka wai huaʻulu ke lawe ʻoe i nā statins. ʻO ia no ka mea hiki i kahi kemika i ka grapefruit ke hoʻopili i ka haki o kekahi mau statins i kou kino. Hiki i kēia ke hoʻonui i ka pae o nā statins i kou koko a hoʻonui i kou manawa o nā hopena maikaʻi ʻole.

Hiki i nā simvastatin a me atorvastatin ke launa pū me nā lāʻau ʻē aʻe. Hiki iā ʻoe ke ʻike i nā papa inoa kikoʻī o kā lākou hana pū ʻana i nā ʻatikala Healthline ma simvastatin a me atorvastatin. ʻIke pū kekahi, hiki i ka atorvastatin ke launa pū me nā lāʻau kaohi hānau.

Loaʻa a me ke kumukūʻai

ʻO ka simvastatin a me ka atorvastatin he mau papa i uhi ʻia i ke kiʻi ʻoniʻoni āu e lawe ai ma ka waha, hoʻokahi manawa i kēlā me kēia lā. Loaʻa ʻo Simvastatin ma lalo o ka inoa Zocor, ʻo Lipitor ka inoa inoa no atorvastatin. Loaʻa kēlā me kēia me he huahana laulā. Hiki iā ʻoe ke kūʻai i kekahi lāʻau i loko o ka hapa nui o nā hale kūʻai lāʻau me kahi kauka mai kāu kauka.

Loaʻa nā lāʻau i kēia mau ikaika:

• Simvastatin: 5 mg, 10 mg, 20 mg, 40 mg, a 80 mg
• Atorvastatin: 10 mg, 20 mg, 40 mg, a me 80 mg

ʻO nā kumukūʻai o ka simvastatin generic a me atorvastatin he haʻahaʻa haʻahaʻa ʻelua, me ka simvastatin generic e emi iki ana ka uku. Hele mai ia ma kahi o $ 10-15 i kēlā me kēia mahina. ʻO Atorvastatin maʻamau $ 25-40 i kēlā me kēia mahina.

ʻOi aku ka pipiʻi o nā lāʻau lapaʻau inoa inoa ma mua o kā lākou generics. ʻO Zocor, ka inoa no simvastatin, ma kahi o $ 200-250 i kēlā me kēia mahina. ʻO Lipitor, ka inoa no atorvastatin, $ 150-200 mau no kēlā me kēia mahina.

No laila inā kūʻai ʻoe i ka generic, ʻoi aku ka liʻiliʻi o ka simvastatin. Akā ke hiki mai i nā mana inoa inoa inoa, ʻoi aku ka liʻiliʻi o ke kumukūʻai atorvastatin.

Lawe ʻia

E noʻonoʻo kāu kauka i nā kumu he nui ke koi aku i ka mālama ʻana me kahi statin e like me simvastatin a me atorvastatin. ʻO ka manawa pinepine, ʻoi aku ka liʻiliʻi o ke koho ʻana i ka lāʻau kūpono e pili ana i ka hoʻohālikelike ʻana i nā lāʻau i kekahi i kekahi a me nā mea hou aʻe e pili ana i nā launa kūpono a me nā hopena ʻē aʻe o kēlā me kēia lāʻau me kāu mōʻaukala pilikino a me nā lāʻau ʻē aʻe āu e lawe ai.

Inā ʻoe e lawe i kēia manawa i ka simvastatin a i ʻole atorvastatin, e nīnau i kāu kauka i nā nīnau aʻe:

• No ke aha wau e lawe nei i kēia lāʻau?
• Pehea ka maikaʻi o ka hana ʻana o kēia lāʻau iaʻu?

Inā loaʻa iā ʻoe nā hopena e like me ka ʻeha o ka miki a i ʻole ka mimi ʻeleʻele, e kamaʻilio koke me kāu kauka. Eia naʻe, mai hōʻoki i ka lawe ʻana i kāu statin me ke kamaʻilio ʻole ʻana me kāu kauka. Hana wale ʻo Statins inā lawe ʻia lākou i kēlā me kēia lā.