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Применение витаминов группы В в терапии полинейропатии разного генеза
Применение витаминов группы В в терапии полинейропатии разного генеза
Пилипович А.А. Применение витаминов группы В в терапии полинейропатии разного генеза. CardioСоматика. 2018; 9 (2): 36–42. DOI: 10.26442/2221-7185_2018.2.36-42
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Аннотация
Дефицит витаминов группы В принимает участие в патогенезе целого ряда заболеваний центральной и периферической нервной системы. Витамины этой группы являются одними из наиболее часто применяемых в неврологии препаратов. Широко известным показанием к назначению витаминов группы В является болевой синдром при нейропатиях, так как считается, что они обладают собственным анальгетическим действием. Накоплен большой опыт клинического применения витаминов группы В и довольно хорошо изучена их клиническая эффективность: проведено более 100 исследований, посвященных как отдельному, так и совместному применению витаминов В1, В6 и В12 и их сочетанию с анальгетиками в комплексной терапии болевого синдрома. В статье обобщены данные экспериментальных работ и клинических исследований эффективности терапии витаминами группы В заболеваний периферической нервной системы и болевого синдрома, а также приведен клинический случай терапии алкогольной полинейропатии инъекционным препаратом Нейромультивит.
Ключевые слова: витамины группы В, цианокобаламин, пиридоксин, тиамин, Нейромультивит, болевой синдром, диабетическая нейропатия, алкогольная полинейропатия.
Key words: group B vitamins, cyanocobalamin, pyridoxine, thiamine, Neuromultivit, pain syndrome, diabetic neuropathy, alcoholic polyneuropathy.
Ключевые слова: витамины группы В, цианокобаламин, пиридоксин, тиамин, Нейромультивит, болевой синдром, диабетическая нейропатия, алкогольная полинейропатия.
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Key words: group B vitamins, cyanocobalamin, pyridoxine, thiamine, Neuromultivit, pain syndrome, diabetic neuropathy, alcoholic polyneuropathy.
Полный текст
Список литературы
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2. Nardin RA, Amic AN, Raynor EM. Vitamin B12 and methylmalonic acid levels in patients presenting with polyneuropathy. Muscle Nerve 2007; 36 (4): 532–5.
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6. Lutskii I.S., Liutikova L.V., Lutskii E.I. Vitaminy gruppy V v nevrologicheskoi praktike. Mezhdunar. nevrologicheskii zhurn. 2008; 5. [in Russian]
7. Mauro GL, Martorana U, Cataldo P et al. Vitamin B12 in low back pain: a randomised, double-blind, placebo-controlled study. Eur Rev Med Pharmacol Sci 2000; 4 (3): 53–8.
8. Talaei A, Siavash M, Majidi H et al. Vitamin B12 may be more effective than nortriptyline in improving painful diabetic neuropathy. Int J Food Sci Nutr 2009; 60 (Suppl. 5): 71–6.
9. Chiu CK, Low TH, Tey YS et al. The efficacy and safety of intramuscular injections of methylcobalamin in patients with chronic nonspecific low back pain: a randomised controlled trial. Singapore Med J 2011; 52 (12): 868–73.
10. Danilov A.B. Primenenie vitaminov gruppy V pri boliakh v spine: novye anal'getiki? RMZh. 2008; 16: 35–3. [in Russian]
11. Lechenie benfotiaminom. Mil'gamma. Nauchnyi obzor. [in Russian]
12. Merete C, Falcon LM, Tucker KL. Vitamin B6 is associated with depressive symptomatology in Massachusetts elders. J Am Coll Nutr 2008; 3: 421–7.
13. Scott K, Zeris S, Kothari MJ. Elevated B6 levels and peripheral neuropathies. Electromyogr Clin Neurophysiol 2008; 5: 219–23.
14. Anisimova E.I., Danilov A.B. Effektivnost' benfotiamina v lechenii alkogol'noi polinevropatii. Zhurn. nevrologii i psikhiatrii im. S.S.Korsakova. 2001; 4: 216–21. [in Russian]
15. Kasdan M, Janes C. Carpal tunnel syndrome and vitamin B6. Plast Reconstr Surg 1987; 79: 456–8.
16. Aufiero E, Stitik T, Foye M et al. Piridoxine hydrochloride treatment of carpal tunnel syndrome: a review. Nutr Rev 2004; 3: 96–104.
17. Katan MB. How much vitamin B6 is toxic? Ned Tijdschr Geneeskd 2005; 46: 2545–6.
18. Bettendorff L, Kolb HA, Schoffeniels E. Thiamine triphosphate activates anion channels of large unit conductance in neuroblastoma cells. J Membr Biol 1993; 136: 281–8.
19. Bа A. Metabolic and structural role of thiamine in nervous tissues. Cell Mol Neurobiol 2008; 7: 923–31.
20. Damulin I.V. Terapevticheskie vozmozhnosti primeneniia preparata Trigamma® v nevrologicheskoi praktike. Sprav. vracha obshchei praktiki. 2011; 7: 28–35. [in Russian]
21. Gibson GE, Blass JP. Thiamine-dependent processes and treatment strategies in neurodegeneration. Antioxid Redox Signal 2007; 9: 1605–10.
22. Ang CD, Alviar MJ, Dans AL et al. Vitamin B for treating peripheral neuropathy. Cochrane Database Syst Rev 2008; 3: CD004573.
23. Starchina Iu.A. Vitaminy gruppy B v lechenii zabolevanii nervnoi sistemy. Nevrologiia, neiropsikhiatriia, psikhosomatika. 2009; 2: 84–7. [in Russian]
24. Bruggemann G, Koehler CO, Koch EM. Results of a double-blind study of diclofenac + vitamin B1, B6, B12 versus diclofenac in patients with acute pain of the lumbar vertebre. A multicenter study. Klein Wochenschr 1990; 2: 116–20.
25. Kulwein A, Meyer HJ, Koehler CO. Reduced diclofenac administration by B vitamins: results of a randomized double-blined study with reduced daily doses of diclofenac (75 mg diclofenac versus 75 mg diclofenac plus B vitsmins) in acute lumbar vertebral syndromes. Klein Wochenschr 1990; 2: 107–15.
26. Zeng L, Alongkronrusmee D, van Rijn RM. An integrated perspective on diabetic, alcoholic, and drug-induced neuropathy, etiology, and treatment in the US. J Pain Res 2017; 10: 219–28.
27. Xu Z, Zhang P, Long L et al. Diabetes mellitus in classical trigeminal neuralgia: a predisposing factor for its development. Clin Neurol Neurosurg 2016; 151: 70–2.
28. Levin O.S. Polinevropatii: Klinicheskoe rukovodstvo. M., 2011; s. 161–221. [in Russian]
29. Tesfaye S, Boulton AJ, Dickenson AH. Mechanisms and management of diabetic painful distal symmetrical polyneuropathy. Diabetes Care 2013; 36: 2456–65.
30. Kalinin A.P., Kotov S.V., Rudakova I.G. Nevrologicheskie rasstroistva pri endokrinnykh zabolevaniiakh. Rukovodstvo dlia vrachei. 2-e izd. M.: Meditsinskoe informatsionnoe agentstvo, 2009; s. 235–300. [in Russian]
31. Shnaider N.A., Petrova M.M., Kirichkova G.A. Diabeticheskaia neiropatiia: definitsiia, klassifikatsiia, faktory riska. Vestn. NGU. Seriia: Biologiia, klinicheskaia meditsina. 2008; 6 (Vyp. 1): 67–72. [in Russian]
32. Xu L, Huang Z, He X et al. Adverse effect of metformin therapy on serum vitamin B12 and folate: short-term treatment causes disadvantages? Med Hypotheses 2013; 2: 149–51.
33. Gromova O.A., Stakhovskaya L.V., Torshin I.Yu., Tomilova I.K. The application of metformin provokes disturbance in vitamin B12 homeostasis. Consilium Medicum. 2017; 19 (4): 58–64. [in Russian]
34. Emel'ianova A.Iu., Zinov'eva O.E. Alkogol'naia polinevropatiia: kliniko-patogeneticheskie varianty, printsipy diagnostiki i lecheniia. Effektivnaia farmakoterapiia. Nevrologiia. 2015; 2. [in Russian]
35. Levin O.S. Polineiropatii. Klinicheskoe rukovodstvo. M., 2005. [in Russian]
36. Angel'cheva O.I., Zinov'eva O.E., Iakhno N.N. Nervno-myshechnye narusheniia pri khronicheskom alkogolizme: uchebnoe posobie. M.: MEDpress-Inform, 2009. [in Russian]
37. Zambelis T, Karandreas N, Tzavellas E et al. Large and small fiber neuropathy in chronic alcohol-dependent subject. J Peripher Nerv Syst 2005; 4: 375–81.
38. Pilipovich A.A., Rusaia V.V. The use of thioctic acid in the polyneuropathic therapy. Consilium Medicum. 2017; 19 (9): 97–101. DOI: 10.26442/2075-1753_19.9.97-101 [in Russian]
39. Vorob'eva O.V., Tverskaia E.P. Alkogol'naia polinevropatiia. Consilium Medicum. 2005; 7 (2): 138–42. [in Russian]
40. Chopra K, Tiwari V. Alcoholic neuropathy: possible mechanisms and future treatment possibilities. Br J Clin Pharmacol 2012; 3: 348–62.
41. Peters TJ, Kotowicz J, Nyka W et al. Treatment of alcoholic polyneuropathy with vitamin B complex: a randomized controlled trial. Alcohol Alcohol 2006; 6: 636–42.
2. Nardin RA, Amic AN, Raynor EM. Vitamin B12 and methylmalonic acid levels in patients presenting with polyneuropathy. Muscle Nerve 2007; 36 (4): 532–5.
3. Данилов А.Б., Данилов Ал.Б. Управляй болью. Биопсихосоциальный подход. М.: АММ ПРЕСС, 2012: 582. / Danilov A.B., Danilov Al.B. Upravliai bol'iu. Biopsikhosotsial'nyi podkhod. M.: AMM PRESS, 2012: 582. [in Russian]
4. Воробьева О.В. Диабетическая нейропатия: некоторые вопросы распространенности, патогенеза и лечения. РМЖ. Неврология. Психиатрия. 2009; 11: 748–51. / Vorob'eva O.V. Diabeticheskaia neiropatiia: nekotorye voprosy rasprostranennosti, patogeneza i lecheniia. RMZh. Nevrologiia. Psikhiatriia. 2009; 11: 748–51. [in Russian]
5. Dror DK, Allen LH. Effect of vitamin B12 deficiency on neurodevelopment in infants: current knowledge and possible mechanisms. Nutr Rev 2008; 5: 250–5.
6. Луцкий И.С., Лютикова Л.В., Луцкий Е.И. Витамины группы В в неврологической практике. Междунар. неврологический журн. 2008; 5. / Lutskii I.S., Liutikova L.V., Lutskii E.I. Vitaminy gruppy V v nevrologicheskoi praktike. Mezhdunar. nevrologicheskii zhurn. 2008; 5. [in Russian]
7. Mauro GL, Martorana U, Cataldo P et al. Vitamin B12 in low back pain: a randomised, double-blind, placebo-controlled study. Eur Rev Med Pharmacol Sci 2000; 4 (3): 53–8.
8. Talaei A, Siavash M, Majidi H et al. Vitamin B12 may be more effective than nortriptyline in improving painful diabetic neuropathy. Int J Food Sci Nutr 2009; 60 (Suppl. 5): 71–6.
9. Chiu CK, Low TH, Tey YS et al. The efficacy and safety of intramuscular injections of methylcobalamin in patients with chronic nonspecific low back pain: a randomised controlled trial. Singapore Med J 2011; 52 (12): 868–73.
10. Данилов А.Б. Применение витаминов группы В при болях в спине: новые анальгетики? РМЖ. 2008; 16: 35–3. / Danilov A.B. Primenenie vitaminov gruppy V pri boliakh v spine: novye anal'getiki? RMZh. 2008; 16: 35–3. [in Russian]
11. Лечение бенфотиамином. Мильгамма. Научный обзор. / Lechenie benfotiaminom. Mil'gamma. Nauchnyi obzor. [in Russian]
12. Merete C, Falcon LM, Tucker KL. Vitamin B6 is associated with depressive symptomatology in Massachusetts elders. J Am Coll Nutr 2008; 3: 421–7.
13. Scott K, Zeris S, Kothari MJ. Elevated B6 levels and peripheral neuropathies. Electromyogr Clin Neurophysiol 2008; 5: 219–23.
14. Анисимова Е.И., Данилов А.Б. Эффективность бенфотиамина в лечении алкогольной полиневропатии. Журн. неврологии и психиатрии им. С.С.Корсакова. 2001; 4: 216–21. / Anisimova E.I., Danilov A.B. Effektivnost' benfotiamina v lechenii alkogol'noi polinevropatii. Zhurn. nevrologii i psikhiatrii im. S.S.Korsakova. 2001; 4: 216–21. [in Russian]
15. Kasdan M, Janes C. Carpal tunnel syndrome and vitamin B6. Plast Reconstr Surg 1987; 79: 456–8.
16. Aufiero E, Stitik T, Foye M et al. Piridoxine hydrochloride treatment of carpal tunnel syndrome: a review. Nutr Rev 2004; 3: 96–104.
17. Katan MB. How much vitamin B6 is toxic? Ned Tijdschr Geneeskd 2005; 46: 2545–6.
18. Bettendorff L, Kolb HA, Schoffeniels E. Thiamine triphosphate activates anion channels of large unit conductance in neuroblastoma cells. J Membr Biol 1993; 136: 281–8.
19. Bа A. Metabolic and structural role of thiamine in nervous tissues. Cell Mol Neurobiol 2008; 7: 923–31.
20. Дамулин И.В. Терапевтические возможности применения препарата Тригамма® в неврологической практике. Справ. врача общей практики. 2011; 7: 28–35. / Damulin I.V. Terapevticheskie vozmozhnosti primeneniia preparata Trigamma® v nevrologicheskoi praktike. Sprav. vracha obshchei praktiki. 2011; 7: 28–35. [in Russian]
21. Gibson GE, Blass JP. Thiamine-dependent processes and treatment strategies in neurodegeneration. Antioxid Redox Signal 2007; 9: 1605–10.
22. Ang CD, Alviar MJ, Dans AL et al. Vitamin B for treating peripheral neuropathy. Cochrane Database Syst Rev 2008; 3: CD004573.
23. Старчина Ю.А. Витамины группы В в лечении заболеваний нервной системы. Неврология, нейропсихиатрия, психосоматика. 2009; 2: 84–7. / Starchina Iu.A. Vitaminy gruppy B v lechenii zabolevanii nervnoi sistemy. Nevrologiia, neiropsikhiatriia, psikhosomatika. 2009; 2: 84–7. [in Russian]
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25. Kulwein A, Meyer HJ, Koehler CO. Reduced diclofenac administration by B vitamins: results of a randomized double-blined study with reduced daily doses of diclofenac (75 mg diclofenac versus 75 mg diclofenac plus B vitsmins) in acute lumbar vertebral syndromes. Klein Wochenschr 1990; 2: 107–15.
26. Zeng L, Alongkronrusmee D, van Rijn RM. An integrated perspective on diabetic, alcoholic, and drug-induced neuropathy, etiology, and treatment in the US. J Pain Res 2017; 10: 219–28.
27. Xu Z, Zhang P, Long L et al. Diabetes mellitus in classical trigeminal neuralgia: a predisposing factor for its development. Clin Neurol Neurosurg 2016; 151: 70–2.
28. Левин О.С. Полиневропатии: Клиническое руководство. М., 2011; с. 161–221. / Levin O.S. Polinevropatii: Klinicheskoe rukovodstvo. M., 2011; s. 161–221. [in Russian]
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33. Громова О.А., Стаховская Л.В., Торшин И.Ю., Томилова И.К. Прием метформина провоцирует нарушения гомеостаза витамина В12. Consilium Medicum. 2017; 19 (4): 8–14. / Gromova O.A., Stakhovskaya L.V., Torshin I.Yu., Tomilova I.K. The application of metformin provokes disturbance in vitamin B12 homeostasis. Consilium Medicum. 2017; 19 (4): 58–64. [in Russian]
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35. Левин О.С. Полинейропатии. Клиническое руководство. М., 2005. / Levin O.S. Polineiropatii. Klinicheskoe rukovodstvo. M., 2005. [in Russian]
36. Ангельчева О.И., Зиновьева О.Е., Яхно Н.Н. Нервно-мышечные нарушения при хроническом алкоголизме: учебное пособие. М.: МЕДпресс-Информ, 2009. / Angel'cheva O.I., Zinov'eva O.E., Iakhno N.N. Nervno-myshechnye narusheniia pri khronicheskom alkogolizme: uchebnoe posobie. M.: MEDpress-Inform, 2009. [in Russian]
37. Zambelis T, Karandreas N, Tzavellas E et al. Large and small fiber neuropathy in chronic alcohol-dependent subject. J Peripher Nerv Syst 2005; 4: 375–81.
38. Пилипович А.А., Русая В.В. Применение тиоктовой кислоты в терапии полиневропатий. Consilium Medicum. 2017; 19 (9): 97–101. DOI: 10.26442/2075-1753_19.9.97-101 / Pilipovich A.A., Rusaia V.V. The use of thioctic acid in the polyneuropathic therapy. Consilium Medicum. 2017; 19 (9): 97–101. DOI: 10.26442/2075-1753_19.9.97-101 [in Russian]
39. Воробьева О.В., Тверская Е.П. Алкогольная полиневропатия. Consilium Medicum. 2005; 7 (2): 138–42. / Vorob'eva O.V., Tverskaia E.P. Alkogol'naia polinevropatiia. Consilium Medicum. 2005; 7 (2): 138–42. [in Russian]
40. Chopra K, Tiwari V. Alcoholic neuropathy: possible mechanisms and future treatment possibilities. Br J Clin Pharmacol 2012; 3: 348–62.
41. Peters TJ, Kotowicz J, Nyka W et al. Treatment of alcoholic polyneuropathy with vitamin B complex: a randomized controlled trial. Alcohol Alcohol 2006; 6: 636–42.
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2. Nardin RA, Amic AN, Raynor EM. Vitamin B12 and methylmalonic acid levels in patients presenting with polyneuropathy. Muscle Nerve 2007; 36 (4): 532–5.
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4. Vorob'eva O.V. Diabeticheskaia neiropatiia: nekotorye voprosy rasprostranennosti, patogeneza i lecheniia. RMZh. Nevrologiia. Psikhiatriia. 2009; 11: 748–51. [in Russian]
5. Dror DK, Allen LH. Effect of vitamin B12 deficiency on neurodevelopment in infants: current knowledge and possible mechanisms. Nutr Rev 2008; 5: 250–5.
6. Lutskii I.S., Liutikova L.V., Lutskii E.I. Vitaminy gruppy V v nevrologicheskoi praktike. Mezhdunar. nevrologicheskii zhurn. 2008; 5. [in Russian]
7. Mauro GL, Martorana U, Cataldo P et al. Vitamin B12 in low back pain: a randomised, double-blind, placebo-controlled study. Eur Rev Med Pharmacol Sci 2000; 4 (3): 53–8.
8. Talaei A, Siavash M, Majidi H et al. Vitamin B12 may be more effective than nortriptyline in improving painful diabetic neuropathy. Int J Food Sci Nutr 2009; 60 (Suppl. 5): 71–6.
9. Chiu CK, Low TH, Tey YS et al. The efficacy and safety of intramuscular injections of methylcobalamin in patients with chronic nonspecific low back pain: a randomised controlled trial. Singapore Med J 2011; 52 (12): 868–73.
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11. Lechenie benfotiaminom. Mil'gamma. Nauchnyi obzor. [in Russian]
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13. Scott K, Zeris S, Kothari MJ. Elevated B6 levels and peripheral neuropathies. Electromyogr Clin Neurophysiol 2008; 5: 219–23.
14. Anisimova E.I., Danilov A.B. Effektivnost' benfotiamina v lechenii alkogol'noi polinevropatii. Zhurn. nevrologii i psikhiatrii im. S.S.Korsakova. 2001; 4: 216–21. [in Russian]
15. Kasdan M, Janes C. Carpal tunnel syndrome and vitamin B6. Plast Reconstr Surg 1987; 79: 456–8.
16. Aufiero E, Stitik T, Foye M et al. Piridoxine hydrochloride treatment of carpal tunnel syndrome: a review. Nutr Rev 2004; 3: 96–104.
17. Katan MB. How much vitamin B6 is toxic? Ned Tijdschr Geneeskd 2005; 46: 2545–6.
18. Bettendorff L, Kolb HA, Schoffeniels E. Thiamine triphosphate activates anion channels of large unit conductance in neuroblastoma cells. J Membr Biol 1993; 136: 281–8.
19. Bа A. Metabolic and structural role of thiamine in nervous tissues. Cell Mol Neurobiol 2008; 7: 923–31.
20. Damulin I.V. Terapevticheskie vozmozhnosti primeneniia preparata Trigamma® v nevrologicheskoi praktike. Sprav. vracha obshchei praktiki. 2011; 7: 28–35. [in Russian]
21. Gibson GE, Blass JP. Thiamine-dependent processes and treatment strategies in neurodegeneration. Antioxid Redox Signal 2007; 9: 1605–10.
22. Ang CD, Alviar MJ, Dans AL et al. Vitamin B for treating peripheral neuropathy. Cochrane Database Syst Rev 2008; 3: CD004573.
23. Starchina Iu.A. Vitaminy gruppy B v lechenii zabolevanii nervnoi sistemy. Nevrologiia, neiropsikhiatriia, psikhosomatika. 2009; 2: 84–7. [in Russian]
24. Bruggemann G, Koehler CO, Koch EM. Results of a double-blind study of diclofenac + vitamin B1, B6, B12 versus diclofenac in patients with acute pain of the lumbar vertebre. A multicenter study. Klein Wochenschr 1990; 2: 116–20.
25. Kulwein A, Meyer HJ, Koehler CO. Reduced diclofenac administration by B vitamins: results of a randomized double-blined study with reduced daily doses of diclofenac (75 mg diclofenac versus 75 mg diclofenac plus B vitsmins) in acute lumbar vertebral syndromes. Klein Wochenschr 1990; 2: 107–15.
26. Zeng L, Alongkronrusmee D, van Rijn RM. An integrated perspective on diabetic, alcoholic, and drug-induced neuropathy, etiology, and treatment in the US. J Pain Res 2017; 10: 219–28.
27. Xu Z, Zhang P, Long L et al. Diabetes mellitus in classical trigeminal neuralgia: a predisposing factor for its development. Clin Neurol Neurosurg 2016; 151: 70–2.
28. Levin O.S. Polinevropatii: Klinicheskoe rukovodstvo. M., 2011; s. 161–221. [in Russian]
29. Tesfaye S, Boulton AJ, Dickenson AH. Mechanisms and management of diabetic painful distal symmetrical polyneuropathy. Diabetes Care 2013; 36: 2456–65.
30. Kalinin A.P., Kotov S.V., Rudakova I.G. Nevrologicheskie rasstroistva pri endokrinnykh zabolevaniiakh. Rukovodstvo dlia vrachei. 2-e izd. M.: Meditsinskoe informatsionnoe agentstvo, 2009; s. 235–300. [in Russian]
31. Shnaider N.A., Petrova M.M., Kirichkova G.A. Diabeticheskaia neiropatiia: definitsiia, klassifikatsiia, faktory riska. Vestn. NGU. Seriia: Biologiia, klinicheskaia meditsina. 2008; 6 (Vyp. 1): 67–72. [in Russian]
32. Xu L, Huang Z, He X et al. Adverse effect of metformin therapy on serum vitamin B12 and folate: short-term treatment causes disadvantages? Med Hypotheses 2013; 2: 149–51.
33. Gromova O.A., Stakhovskaya L.V., Torshin I.Yu., Tomilova I.K. The application of metformin provokes disturbance in vitamin B12 homeostasis. Consilium Medicum. 2017; 19 (4): 58–64. [in Russian]
34. Emel'ianova A.Iu., Zinov'eva O.E. Alkogol'naia polinevropatiia: kliniko-patogeneticheskie varianty, printsipy diagnostiki i lecheniia. Effektivnaia farmakoterapiia. Nevrologiia. 2015; 2. [in Russian]
35. Levin O.S. Polineiropatii. Klinicheskoe rukovodstvo. M., 2005. [in Russian]
36. Angel'cheva O.I., Zinov'eva O.E., Iakhno N.N. Nervno-myshechnye narusheniia pri khronicheskom alkogolizme: uchebnoe posobie. M.: MEDpress-Inform, 2009. [in Russian]
37. Zambelis T, Karandreas N, Tzavellas E et al. Large and small fiber neuropathy in chronic alcohol-dependent subject. J Peripher Nerv Syst 2005; 4: 375–81.
38. Pilipovich A.A., Rusaia V.V. The use of thioctic acid in the polyneuropathic therapy. Consilium Medicum. 2017; 19 (9): 97–101. DOI: 10.26442/2075-1753_19.9.97-101 [in Russian]
39. Vorob'eva O.V., Tverskaia E.P. Alkogol'naia polinevropatiia. Consilium Medicum. 2005; 7 (2): 138–42. [in Russian]
40. Chopra K, Tiwari V. Alcoholic neuropathy: possible mechanisms and future treatment possibilities. Br J Clin Pharmacol 2012; 3: 348–62.
41. Peters TJ, Kotowicz J, Nyka W et al. Treatment of alcoholic polyneuropathy with vitamin B complex: a randomized controlled trial. Alcohol Alcohol 2006; 6: 636–42.
Авторы
А.А.Пилипович
ФГАОУ ВО «Первый Московский государственный университет им. И.М.Сеченова» Минздрава России. 119991, Россия, Москва, ул. Трубецкая, д. 8, стр. 2
aapilipovich@mail.ru
I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation. 119991, Russian Federation, Moscow, ul. Trubetskaia, d. 8, str. 2
aapilipovich@mail.ru
ФГАОУ ВО «Первый Московский государственный университет им. И.М.Сеченова» Минздрава России. 119991, Россия, Москва, ул. Трубецкая, д. 8, стр. 2
aapilipovich@mail.ru
________________________________________________
I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation. 119991, Russian Federation, Moscow, ul. Trubetskaia, d. 8, str. 2
aapilipovich@mail.ru
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