The current treatment strategy for gouty arthritis

Febuxostat is a non-purine selective inhibitor of isoforms of xanthine oxidoreductase (XOR), the effect of which is aimed at lowering the level of serum uric acid (UA). Febuxostat is a more potent inhibitor of XOR than allopurinol, as confirmed by that target UA levels have been achieved more freque...

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Main Authors: M. S. Petrova, М. M. Musiychuk, V. I. Mazurov
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2018-09-01
Series:Современная ревматология
Subjects:
Online Access:https://mrj.ima-press.net/mrj/article/view/844
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spelling doaj-9cecfccf58594330a48de2115cc2febd2021-07-29T09:00:12ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2018-09-01123707510.14412/1996-7012-2018-3-70-752109The current treatment strategy for gouty arthritisM. S. Petrova0М. M. Musiychuk1V. I. Mazurov2I.I. Mechnikov North-Western State Medical University, Ministry of Health of RussiaI.I. Mechnikov North-Western State Medical University, Ministry of Health of RussiaI.I. Mechnikov North-Western State Medical University, Ministry of Health of RussiaFebuxostat is a non-purine selective inhibitor of isoforms of xanthine oxidoreductase (XOR), the effect of which is aimed at lowering the level of serum uric acid (UA). Febuxostat is a more potent inhibitor of XOR than allopurinol, as confirmed by that target UA levels have been achieved more frequently with febuxostat than with allopurinol, particularly in patients with high serum urate concentrations. The pharmacokinetic properties of febuxostat are not dependent on renal clearance, which distinguishes it from allopurinol and may benefit patients with chronic kidney disease. A number of studies are being conducted to further evaluate the cardiovascular safety of febuxostat and its possible positive effects in preserving renal function. Of importance is the fact that febuxostat does not require dose adjustment in elderly patients.https://mrj.ima-press.net/mrj/article/view/844gouthyperuricemiafebuxostatallopurinolchronic kidney diseasescardiovascular diseases
collection DOAJ
language Russian
format Article
sources DOAJ
author M. S. Petrova
М. M. Musiychuk
V. I. Mazurov
spellingShingle M. S. Petrova
М. M. Musiychuk
V. I. Mazurov
The current treatment strategy for gouty arthritis
Современная ревматология
gout
hyperuricemia
febuxostat
allopurinol
chronic kidney diseases
cardiovascular diseases
author_facet M. S. Petrova
М. M. Musiychuk
V. I. Mazurov
author_sort M. S. Petrova
title The current treatment strategy for gouty arthritis
title_short The current treatment strategy for gouty arthritis
title_full The current treatment strategy for gouty arthritis
title_fullStr The current treatment strategy for gouty arthritis
title_full_unstemmed The current treatment strategy for gouty arthritis
title_sort current treatment strategy for gouty arthritis
publisher IMA-PRESS LLC
series Современная ревматология
issn 1996-7012
2310-158X
publishDate 2018-09-01
description Febuxostat is a non-purine selective inhibitor of isoforms of xanthine oxidoreductase (XOR), the effect of which is aimed at lowering the level of serum uric acid (UA). Febuxostat is a more potent inhibitor of XOR than allopurinol, as confirmed by that target UA levels have been achieved more frequently with febuxostat than with allopurinol, particularly in patients with high serum urate concentrations. The pharmacokinetic properties of febuxostat are not dependent on renal clearance, which distinguishes it from allopurinol and may benefit patients with chronic kidney disease. A number of studies are being conducted to further evaluate the cardiovascular safety of febuxostat and its possible positive effects in preserving renal function. Of importance is the fact that febuxostat does not require dose adjustment in elderly patients.
topic gout
hyperuricemia
febuxostat
allopurinol
chronic kidney diseases
cardiovascular diseases
url https://mrj.ima-press.net/mrj/article/view/844
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