Efficacy of use of Enerion (sulbuthiamine) in asthenia treatment in patients having chronic non-infectious diseases in outpatient practice


DOI: https://dx.doi.org/10.18565/therapy.2024.3.61-70

Shimokhina N.Yu., Petrova M.M., Bychkovskaya M.S.

Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University of the Ministry of Healthcare of Russia
Abstract. Asthenia is a common and at the same time alarming symptom of many chronic non-communicable diseases (CNCDs).
The aim: to estimate the efficacy of drug treatment of asthenia with Enerion (sulbutiamine) medicine in CNCDs patients in outpatient conditions.
Material and methods. An open prospective clinical study was performed. Screening for asthenia was made in 2373 outpatients with chronic NCDs, of which 847 persons (326 male and 521 female patients, mean age 60.6 ± 14.1 years) met the diagnostic criteria. A survey, collection of complaints and anamnesis, physical examination, and analysis of outpatient records of patients were carried out, on the basis of which CNCDs diagnosis was made. Using MFI-20 asthenia rating scale and FSS asthenia severity scale, subjective diagnosis of asthenia syndrome was established. All the participants were divided into 3 groups: 1st – 446 patients who did not receive anti-asthenic therapy and did not change their lifestyle; 2nd – 71 patients who changed only their lifestyle; 3rd – 330 patients who received Enerion 600 mg/day. within 4 weeks.
Results. In patients of the 3rd group, at the 1st screening of asthenia, a greater degree of severity was fixed on both scales in comparison with patients of the 1st and 2nd groups. Despite this, while taking sulbutiamine in group 3, there was a decrease and complete normalization of the total score by MFI-20 and FSS questionnaires. At the same time, the severity of asthenia in groups 1 and 2 also decreased, but did not reach norm level by MFI-20 assessment. Also, in the group of patients receiving sulbutiamine therapy, normalization of asthenia severity indexes was fixed for all its subtypes, and the total score for each of the MFI-20 subscales after a month of observation was significantly lower in comparison with both groups 1 and 2. There were no side effects associated with sulbutiamine during the study.
Conclusion. Our study is the first to demonstrate the positive effect of sulbutiamine (Enerion) on the symptoms of asthenia in a fairly large group of patients with CNCDs in outpatient practice. Active, targeted diagnosis of asthenic syndrome in patients with chronic NCDs by therapists will lead to the need to resolve the point concerning appropriateness of its pharmacotherapy, including the possibility of using sulbutiamine as a highly effective and safe medicine.
Keywords: sulbutiamine, Enerion, chronic non-infectious diseases, asthenia
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About the Autors

Natalya Yu. Shimokhina, MD, Dr. Sci. (Medicine), associate professor of the Department of polyclinic therapy and family medicine with a course of postgraduate education, Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University of the Ministry of Healthcare of Russia. Address: 660022, Krasnoyarsk, 1 Partizana Zheleznyaka St.
E-mail: doctorkardiolog99@rambler.ru
ORCID: https://orcid.org/0000-0002-0091-5265. eLIBRARY.RU SPIN: 4910-4136.
Marina M. Petrova, MD, Dr. Sci. (Medicine), professor, head of the Department of polyclinic therapy and family medicine with a course of postgraduate education, Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University of the Ministry of Healthcare of Russia. Address: 660022, Krasnoyarsk, 1 Partizana Zheleznyaka St.
E-mail: stk99@yandex.ru
ORCID: https://orcid.org/0000-0002-8493-0058. eLIBRARY.RU SPIN: 3531-2179.
Maria S. Bychkovskaya, 6th year student of the Faculty of general medicine, Professor V.F. Voino-Yasenetsky Krasnoyarsk State Medical University of the Ministry of Healthcare of Russia. Address: 660022, Krasnoyarsk, 1 Partizana Zheleznyaka St.
E-mail: marbyse@mail.ru
ORCID: https://orcid.org/0009-0004-4084-5419


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