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Фебуксостат в терапии подагры: от теории к практике

https://doi.org/10.14412/1996-7012-2017-4-83-88

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Аннотация

Подагра – хроническое заболевание, требующее назначения постоянной урат-снижающей терапии. «Золотым стандартом» такой терапии является аллопуринол. В течение последнего десятилетия был синтезирован и появился в арсенале врачей новый препарат – фебуксостат, селективный ингибитор ксантиноксидазы. В статье проведен обзор литературы, посвященной основным клиническим исследованиям этого препарата, в которых была показана его эффективность, сопоставимая или превышающая эффективность аллопуринола, а также продемонстрировано возможное назначение его пациентам со сниженной функцией почек, с аллергической реакцией на аллопуринол или же с резистентностью к терапии аллопуринолом, что значительно улучшает прогноз у таких пациентов. При длительном приеме фебуксостата наблюдалось практически полное рассасывание тофусов и прекращение рецидивирования атак подагрического артрита. Все эти факты делают фебуксостат перспективным и необходимым препаратом для лечения подагры.

 

Об авторах

Е. В. Ильиных
ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой», Москва
Россия


С. А. Владимиров
ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой», Москва
Россия


М. С. Елисеев
ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой», Москва
Россия


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Для цитирования:


Ильиных Е.В., Владимиров С.А., Елисеев М.С. Фебуксостат в терапии подагры: от теории к практике. Современная ревматология. 2017;11(4):83-88. https://doi.org/10.14412/1996-7012-2017-4-83-88

For citation:


Ilyinykh E.V., Vladimirov S.A., Eliseev M.S. Febuxostat in the therapy of gout: from theory to practice. Modern Rheumatology Journal. 2017;11(4):83-88. (In Russ.) https://doi.org/10.14412/1996-7012-2017-4-83-88

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ISSN 1996-7012 (Print)
ISSN 2310-158X (Online)