Фебуксостат: эффективность и безопасность препарата, перспективы применения (обзор литературы)


DOI: https://dx.doi.org/10.18565/therapy.2024.5.162-171

Е.В. Щемелева, Е.А. Скородумова

ГБУ «Санкт-Петербургский научно-исследовательский институт им. И.И. Джанелидзе»
Аннотация. Распространенность гиперурикемии и подагры растет во всем мире, что приводит в том числе к увеличению затрат системы здравоохранения. Клиническая значимость подагры еще более существенна по причине ее тесной ассоциации с сердечно-сосудистыми и метаболическими заболеваниями. В связи с этим актуален поиск рациональных средств фармакотерапии подагры. В представленном обзоре литературы освещены основные клинические исследования ингибитора ксантиноксидазы фебуксостата с акцентом на вопросах кардиоваскулярной безопасности и нефропротекции. Сделан вывод об эффективности и безопасности препарата при лечении подагры, наличии у него наряду с уратснижающим действием других потенциально ценных фармакотерапевтических свойств. Фебуксостат является препаратом выбора у пациентов со сниженной функцией почек, при неэффективности или плохой переносимости аллопуринола. Выявленные у фебуксостата плейотропные эффекты открывают перспективы для его использования в различных областях медицины, что требует дальнейших исследований.

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Об авторах / Для корреспонденции


Елена Владимировна Щемелева, к. м. н., научный сотрудник отдела неотложной кардиологии и ревматологии ГБУ «Санкт-Петербургский научно-исследовательский институт скорой помощи им. И.И. Джанелидзе». Адрес: 192242, г. Санкт-Петербург, ул. Будапештская, д. 3.
E-mail: schemeleva@yandex.ru
ORCID: https://orcid.org/0000-0003-3566-6761
Елена Андреевна Скородумова, д. м. н., ведущий научный сотрудник отдела неотложной кардиологии и ревматологии ГБУ «Санкт-Петербургский научно-исследовательский институт скорой помощи им. И.И. Джанелидзе». Адрес: 192242, г. Санкт-Петербург, ул. Будапештская, д. 3.
E-mail: elskor@mail.ru
ORCID: https://orcid.org/0000-0002-5017-0214


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