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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Terapevticheskii arkhiv</journal-id><journal-title-group><journal-title xml:lang="en">Terapevticheskii arkhiv</journal-title><trans-title-group xml:lang="ru"><trans-title>Терапевтический архив</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0040-3660</issn><issn publication-format="electronic">2309-5342</issn><publisher><publisher-name xml:lang="en">LLC Obyedinennaya Redaktsiya</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">33669</article-id><article-id pub-id-type="doi">10.26442/00403660.2019.05.000169</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>Editorial article</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>Передовая статья</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Alflutop - in modern symptom - modifying osteoarthritis therapy</article-title><trans-title-group xml:lang="ru"><trans-title>Алфлутоп - в современной симптом - модифицирующей терапии остеоартрита</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Drozdov</surname><given-names>V N</given-names></name><name xml:lang="ru"><surname>Дроздов</surname><given-names>Владимир Николаевич</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., проф., проф. каф. клинической фармакологии и пропедевтики внутренних болезней лечебного фак-та ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» Минздрава России (Сеченовский Университет)</p></bio><email>vndrozdov@yandex.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Shikh</surname><given-names>E V</given-names></name><name xml:lang="ru"><surname>Ших</surname><given-names>Евгения Валерьевна</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., проф., зав. каф. клинической фармакологии и пропедевтики внутренних болезней лечебного фак-та ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» Минздрава России (Сеченовский Университет)</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Serebrova</surname><given-names>S Y</given-names></name><name xml:lang="ru"><surname>Сереброва</surname><given-names>Светлана Юрьевна</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., проф. каф. клинической фармакологии и пропедевтики внутренних болезней лечебного фак-та ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» Минздрава России (Сеченовский Университет)</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Abrosimov</surname><given-names>A G</given-names></name><name xml:lang="ru"><surname>Абросимов</surname><given-names>Анатолий Георгиевич</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н., доцент каф. клинической фармакологии и пропедевтики внутренних болезней лечебного фак-та ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» Минздрава России (Сеченовский Университет)</p></bio><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><name-alternatives><name xml:lang="en"><surname>Starodubtsev</surname><given-names>A K</given-names></name><name xml:lang="ru"><surname>Стародубцев</surname><given-names>Алексей Константинович</given-names></name></name-alternatives><bio xml:lang="ru"><p>д.м.н., проф., проф. каф. клинической фармакологии и пропедевтики внутренних болезней лечебного фак-та ФГАОУ ВО «Первый МГМУ им. И.М. Сеченова» Минздрава России (Сеченовский Университет)</p></bio><xref ref-type="aff" rid="aff1"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Clinical pharmacology and internal medicine propaedeutics of I.M. Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Department of general medicine</institution></aff><aff><institution xml:lang="ru">ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет)</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2019-05-15" publication-format="electronic"><day>15</day><month>05</month><year>2019</year></pub-date><volume>91</volume><issue>5</issue><issue-title xml:lang="en">VOL 91, NO5 (2019)</issue-title><issue-title xml:lang="ru">ТОМ 91, №5 (2019)</issue-title><fpage>134</fpage><lpage>140</lpage><history><date date-type="received" iso-8601-date="2020-04-16"><day>16</day><month>04</month><year>2020</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2019, Consilium Medicum</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2019, ООО "Консилиум Медикум"</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="en">Consilium Medicum</copyright-holder><copyright-holder xml:lang="ru">ООО "Консилиум Медикум"</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/><license><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by-nc-sa/4.0</ali:license_ref></license></permissions><self-uri xlink:href="https://ter-arkhiv.ru/0040-3660/article/view/33669">https://ter-arkhiv.ru/0040-3660/article/view/33669</self-uri><abstract xml:lang="en"><p>One of the serious problems during the treatment of osteoarthritis (OA) is the developing of adverse drug events during therapy. Nonsteroidal anti - inflammatory drugs (NSAIDs) are the first drugs with the high incidence and severity of adverse events. This article describes OA treatment strategies approaches for OA are presented using the complex drug Alflutop, which has a composition similar to the human hyaline cartilage. The drug has anti - inflammatory and analgesic effects, normalizes the function of the affected joints, improves the quality of patients’ life, also has a structure - modifying effect. Such therapy is safe, well tolerable for patients, and can be used used as a starting complex OA treatment.</p></abstract><trans-abstract xml:lang="ru"><p>Одной из серьезных проблем лечения остеоартрита (ОА) является развитие нежелательных явлений при назначении медикаментозной терапии, и первое место по частоте и тяжести нежелательных лекарственных реакций принадлежит нестероидным противовоспалительным препаратам (НПВП). В статье представлены подходы к лечению ОА с использованием комплексного препарата Алфлутоп, который имеет состав, аналогичный матриксу гиалинового хряща. Препарат обладает противовоспалительным и обезболивающим действием, нормализует функцию пораженных суставов, улучшает качество жизни пациентов, а также обладает структурно - модифицирующим эффектом. Такая терапия является безопасной, хорошо переносится пациентами и снижает ежедневную потребность в НПВП и может быть использована в стартовой комплексной терапии ОА.</p></trans-abstract><kwd-group xml:lang="en"><kwd>osteoarthritis</kwd><kwd>therapy</kwd><kwd>daily consumption of nonsteroidal anti-inflammatory drugs</kwd><kwd>complex therapy</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>остеоартрит</kwd><kwd>терапия</kwd><kwd>потребность в нестероидных противовоспалительных препаратах</kwd><kwd>комплексная терапия</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Noyszewski E.A, Wroblewski K, Dodge G.R, Kudchodkar S, Beers J, Sarma A.V, et al. Preferential incorporation of glucosamine into the galactosamine moieties of chondroitin sulfate in articular cartilage explants. Arthritis Rheum. 2001;44:1089-95. https://doi.org/10.1002/1529-0131(200105)44:5&lt;1089::AID-ANR189&gt;3.0.CO;2-9</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Bassleer C, Rovati L.C, Franchimont P. Glucosamine sulfate stimulates proteoglycan production in human chondrocytes in vitro. Osteoarthritis Cartilage. 1998;6:427-34. https://doi.org/10.1053/joca.1998.0146</mixed-citation></ref><ref id="B3"><label>3.</label><mixed-citation>Piperno M, Reboul P, Helio Le, Graverand M.P, Peschard M.J, Annefeld M, Richard M, et al. Glucosamine sulfate modulates dysregulated activities of human osteoarthritic chondrocytes in vitro. Osteoarthritis Cartilage. 2000;8:207-12. https://doi.org/10.1053/joca.1999.0291</mixed-citation></ref><ref id="B4"><label>4.</label><mixed-citation>Dodge G.R, Jimenez S.A. Glucosamine sulfate modulates the levels of aggrecan and matrix metalloproteinase-3 synthesized by cultured human osteoarthritis articular chondrocytes. Osteoarthritis Cartilage. 2003;11:424-32. https://doi.org/10.1016/s1063-4584(03)00052-9</mixed-citation></ref><ref id="B5"><label>5.</label><mixed-citation>Mroz P.J, Silbert J.E. Use of 3H-glucosamine and 35S-sulfate with cultured human chondrocytes to determine the effect of glucosamine concentration on formation of chondroitin sulfate. Arthritis Rheum. 2004;50:3574-9. https://doi.org/10.1002/art.20609</mixed-citation></ref><ref id="B6"><label>6.</label><mixed-citation>Biggee B.A, Blinn C.M, Mc Alindon T.E, Nuite M, Silbert J.E. Low levels of human serum glucosamine after ingestion of glucosamine sulfate relative to capability for peripheral effectiveness. Ann Rheum Dis. 2006;65:222-6. https://doi.org/10.1136/ard.2005.036368</mixed-citation></ref><ref id="B7"><label>7.</label><mixed-citation>Varghese S, Theprungsirikul P, Sahani S, Hwang N, Yarema K.J, Elisseeff J.H. Glucosamine modulates chondrocyte proliferation, matrix synthesis, and gene expression. Osteoarthritis Cartilage. 2007;15:59-68. https://doi.org/10.1016/ j.joca.2006.06.008</mixed-citation></ref><ref id="B8"><label>8.</label><mixed-citation>Gouze J.N, Bordji K, Gulberti S, Terlain B, Netter P, Magdalou J, et al. Interleukin-1beta down - regulates the expression of glucuronosyltransferase I, a key enzyme priming glycosaminoglycan biosynthesis: influence of glucosamine on interleukin-1beta - mediated effects in rat chondrocytes. Arthritis Rheum. 2001;44:351-60. https://doi.org/10.1002/1529-0131(200102)44:2%3C351:: aid-anr53%3E3.0.co;2-m</mixed-citation></ref><ref id="B9"><label>9.</label><mixed-citation>Chiusaroli R, Piepoli T, Zanelli T, Ballanti P, Lanza M, Rovati L.C, et al. Experimental pharmacology of glucosamine sulfate. Int J Rheumatol. 2011: 939265 [Epub]. https://doi.org/10.1155/2011/939265</mixed-citation></ref><ref id="B10"><label>10.</label><mixed-citation>Imagawa K, de Andrés M.C, Hashimoto K, Pitt D, Itoi E, Goldring M.B, et al. The epigenetic effect of glucosamine and a nuclear factor - kappa B (NF-kB) inhibitor on primary human chondrocytes - implications for osteoarthritis. Biochem Biophys Res Commun. 2011;405:362-7. https://doi.org/10.1016/j.bbrc. 2011.01.007</mixed-citation></ref><ref id="B11"><label>11.</label><mixed-citation>Maneiro E, Fernández Sueiro J, Lema D, de Toro F, Galdo F, Blanco F. Efecto del condroitín sulfato sobre la producción de óxido nítrico por los condrocitos humanos artrósicos. Rev Esp Reumatol. 2001;28:12-7. https://doi.org/10.39 89/mc.1961.v11.i103.1883</mixed-citation></ref><ref id="B12"><label>12.</label><mixed-citation>Vergés J, Montell E, Martinez G, Heroux L, du Souich P. Chon - droitin sulfate reduces nuclear translocation factor NF-kappaB and does not modify the activation state of activating protein-1 (AP-1) (Abstract). Osteoarthritis Cartilage. 2004;12:194. https://doi.org/10.1016/s1063-4584(08)60572-5</mixed-citation></ref><ref id="B13"><label>13.</label><mixed-citation>Jomphe C, Gabriac M, Hale T.M, Heroux L, Trudeau L.E, Deblois D, et al. Chondroitin sulfate inhibits the nuclear translocation of nuclear factor - kappaB in interleukin-1beta - stimulated chondrocytes. Basic Clin Pharmacol Toxicol. 2008;102:59-65. https://doi.org/10.1111/j.1742-7843.2007.00158.x</mixed-citation></ref><ref id="B14"><label>14.</label><mixed-citation>Caraglia M, Beninati S, Giuberti G, D’Alessandro A.M, Lentini A, Abbruzzese A, et al. Alternative therapy of earth elements increases the chondroprotective effects of chondroitin sulfate in mice. Exp Mol Med. 2005;37:476-81. https://doi.org/10.1038/emm.2005.58</mixed-citation></ref><ref id="B15"><label>15.</label><mixed-citation>Bassleer C.T, Combal J.P, Bougaret S, Malaise M. Effects of chondroitin sulfate and interleukin-1 beta on human articular chondrocytes cultivated in clusters. Osteoarthritis Cartilage. 1998;6:196e204. https://doi.org/10.1053/joca.199 8.0112</mixed-citation></ref><ref id="B16"><label>16.</label><mixed-citation>Uebelhart D, Thonar E.J, Zhang J, Williams J.M. Protective effect of exogenous chondroitin 4,6-sulfate in the acute degradation of articular cartilage in the rabbit. Osteoarthritis Cartilage. 1998;6(Suppl A):6-13. https://doi.org/10.1016/ s1063-4584(98)80005-8</mixed-citation></ref><ref id="B17"><label>17.</label><mixed-citation>Wang L, Wang J, Almqvist K.F, Veys E.M, Verbruggen G. Influence of polysulphated polysaccharides and hydrocortisone on the extracellular matrix metabolism of human articular chondrocytes in vitro. Clin Exp Rheumatol. 2002;20:669-76. https://doi.org/10.1016/s1063-4584(03)00168-7</mixed-citation></ref><ref id="B18"><label>18.</label><mixed-citation>Orth M.W, Peters T.L, Hawkins J.N. Inhibition of articular cartilage degradation by glucosamine HCl and chondroitin sulphate. Equine Vet J Suppl. 2010;34:224-9. https://doi.org/10.1111/j.2042-3306.2002.tb05423.x</mixed-citation></ref><ref id="B19"><label>19.</label><mixed-citation>Chan P.S, Caron J.P, Orth M.W. Effect of glucosamine and chondroitin sulfate on regulation of gene expression of proteolytic enzymes and their inhibitors in interleukin-1- challenged bovine articular cartilage explants. Am J Vet Res. 2005;66:1870-6. https://doi.org/10.2460/ajvr.2005.66.1870</mixed-citation></ref><ref id="B20"><label>20.</label><mixed-citation>Chou M.M, Vergnolle N, Mc Dougall J.J, Wallace J.L, Marty S, Teskey V, et al. Effects of chondroitin and glucosamine sulfate in a dietary bar formulation on inflammation, interleukin- 1beta, matrix metalloprotease-9, and cartilage damage in arthritis. Exp Biol Med. 2005;230:255-62. https://doi.org/10.1177/153 537020523000405</mixed-citation></ref><ref id="B21"><label>21.</label><mixed-citation>Monfort J, Nacher M, Montell E, Vila J, Verges J, Benito P. Chondroitin sulfate and hyaluronic acid (500e730 kDa) inhibit stromelysin-1 synthesis in human osteoarthritic chondrocytes. Drugs Exp Clin Res. 2005;31:71-6. https:// doi.org/10.1016/s1699-258x(05)72734-0</mixed-citation></ref><ref id="B22"><label>22.</label><mixed-citation>Baici A, Bradamante P. Interaction between human leukocyte elastase and chondroitin sulfate. Chem Biol Interact. 1984;51:1-11. https://doi.org/10.10 16/0009-2797(84)90015-2</mixed-citation></ref><ref id="B23"><label>23.</label><mixed-citation>Baici A, Lang A. Cathepsin B secretion by rabbit articular chondrocytes: modulation by cycloheximide and glycosami - noglycans. Cell Tissue Res. 1990;259:567-73. https://doi.org/10.1007/bf01740785</mixed-citation></ref><ref id="B24"><label>24.</label><mixed-citation>Verbruggen G, Veys E.M. Influence of sulphated glycosamino - glycans upon proteoglycan metabolism of the synovial lining cells. Acta Rhumatol Belg. 1977;1:75-92.</mixed-citation></ref><ref id="B25"><label>25.</label><mixed-citation>Nishikawa H, Mori I, Umemoto J. Influences of sulfated glycosaminoglycans on biosynthesis of hyaluronic acid in rabbit knee synovial membrane. Arch Biochem Biophys. 1985;240:146-53. https://doi.org/10.1016/0003-9861(85) 90017-7</mixed-citation></ref><ref id="B26"><label>26.</label><mixed-citation>Nishikawa H, Mori I, Umemoto J. Glycosaminoglycan polysulfate - induced stimulation of hyaluronic acid synthesis in rabbit knee synovial membrane: involvement of binding protein and calcium ion. Arch Biochem Biophys. 1988;266:201-9. https://doi.org/10.1016/0003-9861(88)90251-2</mixed-citation></ref><ref id="B27"><label>27.</label><mixed-citation>Chan P.S, Caron J.P, Rosa G.J, Orth M.W. Glucosamine and chondroitin sulfate regulate gene expression and synthesis of nitric oxide and prostaglandin E(2) in articular cartilage explants. Osteoarthritis Cartilage. 2005;13:387-94. https://doi.org/10.1016/j.joca.2005.01.003</mixed-citation></ref><ref id="B28"><label>28.</label><mixed-citation>Chan P.S, Caron J.P, Orth M.W. Short - term gene expression changes in cartilage explants stimulated with interleukin beta plus glucosamine and chondroitin sulfate. J Rheumatol. 2006;33:1329-40.</mixed-citation></ref><ref id="B29"><label>29.</label><mixed-citation>Tat S.K, Pelletier J.P, Vergés J, Montell E, Lajeunesse D, Fahmi H, et al. Chondroitin and glucosamine sulfate in combination decrease the pro - resorptive properties of human osteoarthritis subchondral bone osteoblasts. Arthritis Res Ther. 2007;9:R117. https://doi.org/10.1186/ar2325</mixed-citation></ref><ref id="B30"><label>30.</label><mixed-citation>Zhang W, Doherty M, Arden N, et al. EULAR evidence based recommendations for the management of hip osteoarthritis: report of a task force of the EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT). Ann Rheum Dis. 2005;64:669-81. https://doi.org/10. 1136/ard.2004.028886</mixed-citation></ref><ref id="B31"><label>31.</label><mixed-citation>Zhang W, Moskowitz R.W, Nuki G, et al. OARSI recommendations for the management of hip and knee osteoarthritis, part II: OARSI evidence - based, expert consensus guidelines. Osteoarthritis Cartilage. 2008;16:137-62. https://doi.org/10.1016/j.joca.2008.04.019</mixed-citation></ref><ref id="B32"><label>32.</label><mixed-citation>Zhang W, Moskowitz R.W, Nuki G, et al. OARSI recommendations for the management of hip and knee osteoarthritis. Part I: Critical appraisal of existing treatment guidelines and systematic review of current research evidence. Osteoarthritis Cartilage. 2007;15:981-1000. https://doi.org/10.1016/j.joca.20 08.04.019</mixed-citation></ref><ref id="B33"><label>33.</label><mixed-citation>Zhang W, Nuki G, Moskowitz R.W, et al. OARSI recommendations for the management of hip and knee osteoarthritis. Part III: changes in evidence following systematic cumulative update of research published through January 2009. Osteoarthritis Cartilage. 2010;18:476-99.</mixed-citation></ref><ref id="B34"><label>34.</label><mixed-citation>Hochberg M.C, Altman R.D, April K.T, et al. American College of Rheumatology 2012 recommendations for the use of nonpharmacologic and pharmacologic therapies in osteoarthritis of the hand, hip, and knee. Arthritis Care Res (Hoboken). 2012;64:465-74. https://doi.org/10.1002/acr.21596</mixed-citation></ref><ref id="B35"><label>35.</label><mixed-citation>Mc Alindon T.E, Bannuru R.R, Sullivan M.C, et al. OARSI guidelines for the non - surgical management of knee osteoarthritis. Osteoarthritis Cartilage. 2014;22(3):363-88. https://doi.org/10.1016/ j.joca.2014.01.003</mixed-citation></ref><ref id="B36"><label>36.</label><mixed-citation>Meulyzer M, Vachon P, Beaudry F, Vinardell T, Richardy H, Beauchamp G, Laverty S. Comparison of pharmacokinetics of glucosamine and synovial fluid levels following administration of glucosamine sulphate or glucosamine hydrochloride. Osteoarthritis and Cartilage. 2008;16:973-9. https://doi.org/10. 1016/j.joca.2008.01.006</mixed-citation></ref><ref id="B37"><label>37.</label><mixed-citation>Persiani S, Rotini R, Trisolino G, Rovati L.C, Locatelli M, Paganini D, Antonioli D, Roda A. Synovial and plasma glucosamine concentrations in osteoarthritic patients following oral crystalline glucosamine sulphate at therapeutic dose. OsteoArthritis and Cartilage. 2007;15:764-72. https://doi.org/10.1016/ j.joca.2007.01.019</mixed-citation></ref><ref id="B38"><label>38.</label><mixed-citation>Biggee B.A, Blinn C.M, Mc Alindon T.E, Nuite M, Silbert J.E. Low levels of human serum glucosamine after ingestion of glucosamine sulphate relative to capability for peripheral effectiveness. Ann Rheum Dis. 2006;65:222-6. doi: 10.1136/ard.2005.036368</mixed-citation></ref><ref id="B39"><label>39.</label><mixed-citation>Volpi N. Oral absorption and bioavailability of ichthyic origin chondroitin sulfate in healthy male volunteers. OsteoArthritis and Cartilage. 2003;11:433-41. https://doi.org/10.1016/s1063-4584(03)00051-7</mixed-citation></ref><ref id="B40"><label>40.</label><mixed-citation>Laura Olariu, Brindusa Dumitriu, Diana Manuela Ene, Alexey Pavlov, Natalya Pyatigorskaya, Natalia Rosoiu. Alflutop Modulates “In Vitro” Relevant Mechanisms of Osteoarthritic Pathology. Annals Series on Bio - logical Sciences. 2017 Academy of Romanian Scientists. 2017;6(1):82-99. ISSN 2285 - 4177</mixed-citation></ref><ref id="B41"><label>41.</label><mixed-citation>Laura Olariu, Brindusa Dumitriu, Emilia Buse, Natalia Rosoiu. The ”In Vitro” Effect Of Alflutop Product On Some Extracellular Signaling Factors Involved In The Osteoarthicular Pathology Inflammation The ”In Vitro” Effect Of Alflutop® Product On Some Extracellular Signaling Factors Involved In The Osteoarthicular Pathology Inflammation. Academy of Romanian Scientists. Annals Series on Biological Sciences. 2015;4(2):7-18. ISSN 2285 - 4177 Online Edition; Original Paper, Received for publication, September, 15, 2015. Accepted, December, 01, 2015</mixed-citation></ref><ref id="B42"><label>42.</label><mixed-citation>Алексеева Л.И., Шарапова Е.П., Таскина Е.А. и др. Многоцентровое слепое рандомизированное плацебоконтролируемое исследование симптом - и структурно - модифицирующего действия препарата алфлутоп у больных остеоартрозом коленных суставов. Сообщение 1 - Оценка симптом - модифицирующего действия препарата. Научно - практическая ревматология. 2013;51(5):532-8. https://doi.org/10.14412/1995-4484-2013-1545</mixed-citation></ref><ref id="B43"><label>43.</label><mixed-citation>Hawkey C.J. Cyclooxygenase inhibition: between the devil and the deep blue sea. GUT. 2002;50(suppl.3):1125-30. https://doi.org/10.1136/gut.50. suppl_3.iii25</mixed-citation></ref><ref id="B44"><label>44.</label><mixed-citation>Taha A.S, et al. Famotidine for the prevention of gastric and duodenal ulcers caused by nonsteroidal anti - inflammatory drugs. N Engl J Med. 1996;334:1435-9.</mixed-citation></ref><ref id="B45"><label>45.</label><mixed-citation>Agrawal N.M, Van Kerchkhove H, Erhardt L.J, Geis G.S. Dig Dis Sci. 1995;40:1125-31. https://doi.org/10.1007/bf02064210</mixed-citation></ref><ref id="B46"><label>46.</label><mixed-citation>Labeling Guidance Diclofenac Sodium February 1995; www.fda.gov (accessed 8/3/01) Traversa G, et al. Cohort study of hepatotoxicity associated with nimesulide and other non - steroidal anti - inflammatory drugs. BMJ. 2003;327:18-22.</mixed-citation></ref><ref id="B47"><label>47.</label><mixed-citation>Trechot P, et al. Incidence of hepatitis induced by non - steroidal anti - inflammatory drugs (NSAID). Ann Rheum Dis. 1996 Dec;55(12):936.</mixed-citation></ref><ref id="B48"><label>48.</label><mixed-citation>Boelsterli U. Mechanisms of NSAID-induced hepatotoxicity: focus on nimesulide. Drug Saf. 2002;25:633-48.</mixed-citation></ref><ref id="B49"><label>49.</label><mixed-citation>Kumar S. Drug linked to child deaths is still available in India. BMJ. 2003;326:70.</mixed-citation></ref><ref id="B50"><label>50.</label><mixed-citation>Светлова М.С., Игнатьев В.К. Применение алфлутопа в лечении больных остеоартрозом. Клиническая медицина. 2004;6:52-5.</mixed-citation></ref><ref id="B51"><label>51.</label><mixed-citation>Дроздов В.Н., Коломеец Е.В. Применение Алфлутопа у больных остеоартрозом с гастропатией, развившейся на фоне лечения НПВП. Фарматека. 2005;20:125-8.</mixed-citation></ref><ref id="B52"><label>52.</label><mixed-citation>Emilia Buse, Brandusa Dumitriu, Laura Olariu, Diana Ene, Mihai Bojinca, Toma Papacocea. Cellular and molecular activity of a standardized small sea fish extract in an experimental model of primary human cartilage cells. Roman J of Rheumatol. 2018;27(1):23-31.</mixed-citation></ref><ref id="B53"><label>53.</label><mixed-citation>Laura Olariu, Brindusa Dumitriu, Luiza Craciun, Emilia Buse, Natalia Rosoiu, Mihai Bojinca, Toma Papacocea. The In Vitro Influence of A Pharmaceutically Active Small Sea Fish Extract on Apoptosis and Proliferation Mechanisms Amplified by Inflammatory Conditions. Manuscript received: November 2017. FARMACIA. 2018;66(3).</mixed-citation></ref></ref-list></back></article>
