Drug-induced gastrointestinal tract damages: Part 2 – sources of danger and methods of prevention
DOI: https://dx.doi.org/10.18565/therapy.2020.7.54-70
Pereverzev A.P., Ostroumova O.D.
Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of Russia, Moscow
Current review contains information about certain groups of drugs intake of which probably could be associated with medicamentous damage of the gastrointestinal tract (GIT): proton pump inhibitors, anticoagulants, and nonsteroidal anti-inflammatory drugs, including acetylsalicylic acid in low doses. The possibility of preventing gastrointestinal tract drug damages by means of using the universal gastroenteroprotector rebamipide, which makes protective effect throughout the entire GIT, has, in addition to pharmacodynamic features, a number of important pharmacokinetic advantages and is characterized by a relatively low risk of drug-drug interactions, is considered. The results of numerous well-controlled clinical studies that have confirmed the efficacy and safety of rebamipide in different groups of patients are presented. Informing health care practitioners about the possible risks and complications of pharmacotherapy from the side of digestive system will improve patients’ safety and the effectiveness of treatment.
Keywords: adverse reactions, gastrointestinal tract, medicine remedies, rebamipide, gastropathy, enteropathy, colopathy
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About the Autors
Anton P. Pereverzev, PhD, associate professor of the Department of therapy and polymorbid pathology of Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of Russia. Address: 125993, Moscow, 2/1 build 1 Barrikadnaya Str. Tel.: +7 (916) 538-87-81. E-mail: acchirurg@mail.ru. ORCID: 0000-0001-7168-3636. ESPIN: 4842-3770
Olga D. Ostoumova, MD, professor, head of the Department of therapy and polymorbid pathology of Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of Russia. Address: 125993, Moscow, 2/1 build 1 Barrikadnaya Str. Tel.: +7 (903) 169-68-28. E-mail: ostroumova.olga@mail.ru. ORCID: 0000-0002-0795-8225. ESPIN: 3910-6585