Terapevticheskii arkhivTerapevticheskii arkhivТерапевтический архив0040-36602309-5342LLC Obyedinennaya Redaktsiya3237810.17116/terarkh20178912233-237Editorial articleПередовая статьяReview ArticleA rationally grounded approach to treating gout with regard to its onset and course and the presence of comorbidity according to the European League against Rheumatism (EULAR 2016) recommendationsРационально-обоснованный подход к лечению подагры с учетом дебюта, течения и сочетанной патологии по материалам рекомендаций Европейской антиревматической лиги (EULAR 2016 г.)TsurkoV VЦуркоВ ВGromovaM AГромоваМ АФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» Минздрава РоссииФГБОУ ВО «РНИМУ им. Н.И. Пирогова» Минздрава РоссииФГБОУ ВО «РНИМУ им. Н.И. Пирогова» Минздрава России201220178912-2VOL 89, NO12 (2017)ТОМ 89, №12-2 (2017)23323710042020Copyright ©; 2017, Consilium MedicumCopyright ©; 2017, ООО "Консилиум Медикум"2017Consilium MedicumООО "Консилиум Медикум"https://creativecommons.org/licenses/by-nc-sa/4.0https://ter-arkhiv.ru/0040-3660/article/view/32378

The review analyzes in detail the management of gout, which takes into account its onset and course and the presence of comorbidity. Emphasis is placed on drug and non-drug treatments and urate-lowering therapy in patients with kidney dysfunction. Along with allopurinol, the urate-lowering drug febuxostat is first recommended in Russia. The purpose of this review is to notify physicians of the possibility of achieving the target uric acid levels when treating gout with hyperuricemia.

В обзоре подробно проанализировано ведение пациентов с подагрой, учитывающее дебют заболевания, течение и наличие сочетанной патологии. Основное внимание уделено фармакологическим, нефармакологическим методам лечения и применению уратснижающих препаратов у пациентов с нарушением функции почек. В России наряду с аллопуринолом впервые рекомендуется препарат с уратснижающим эффектом — фебуксостат. Цель обзора — довести до врачей информацию о возможности достижения целевого уровня мочевой кислоты при лечении подагры с гиперурикемией.

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