Исследована эффективность лекарственного средства Эслидин® у онкологических больных, получающих полихимиотерапию препаратами цисплатин и циклофосфан. Эслидин® как гепатопротектор снижает общую токсичность цитостатиков, вызывает регресс гипераминотрансфераземии, гипербилирубинемии, стимулирует конъюгацию билирубина, нормализует содержание белка в крови, а также обладает слабым антидепрессивным действием.
In this trial the clinical effectiveness of Eslidine® was studied among oncological patients receiving cyclophosphan- and cisplatin-based polychemotherapy. Acting as a hepatoprotector, Eslidine® reduces overall toxicity of the treatment, downgrading aminotransferase and bilirubin levels, stimulates bilirubin conjugation, improves protein level as well as lowers depression rate.
1. Кляритская И.Л., Максимова Е.В. Гепатотоксичность в онкологии. Крымский государственный медицинский университет им. С.И.Георгиевского, Симферополь.
2. Полунина Т.Е. Лекарственные гепатиты. Тер. арх. 1999; 12: 46–9.
3. Farrell G. Drug-induced hepatic injury. Gastroenterol Hepatol 1997; 9–10 (12) 242–50.
4. Honjo I, Suou T, Hirayama C. Hepatotoxicity of cyclophosphamide in man: pharmacokinetic analysis. Res Commun Chem Pathol Pharmacol 1988; 61 (2): 1491–65.
5. Shanholtz C. Acute life-threatening toxicity of cancer treatment. Crit Care Clin 2001; 3 (17): 483–502.
6. Олейник А.В. Влияние циклофосфана на перекисное окисление липидов. Вопросы Онкологии. 1985; 7: 97–101.
7. Gurtoo HL, Hipkens JH, Sharma SD. Role of glutathione in the metabolism-dependent toxicity and chemotherapy of cyclophosphamide. Cancer Res (Pt. 1) 1981; 9 (41): 3584–91.
8. Laslett TJ, Alvarez F, Nation RL et al. Effect of cyclophosphamide administration on the activity and relative content of hepatic P4502D1 in rat. Xenobiotica 1995; 10 (25): 1031–9.
9. Bacon AM, Rosenberg SA. Cyclophosphamide hepatotoxicity in a patient with systemic lupus erythematosus. Ann Intern Med 1982; 1 (97): 62–3.
10. Cleland BD, Pokorny CS. Cyclophosphamide related hepatotoxicity. Aust N Z J Med 1993; 4 (23): 408.
11. Goldberg JW, Lidsky MD. Cyclophosphamideassociated hepatotoxicity. South Med J 1985; 2 (78): 222–3.
12. Ma B, Yeo W, Hui P et al. Acute toxicity of adjuvant doxorubicin and cyclophosphamide for early breastcancer – a retrospective review of Chinese patients and comparison with anhistoric Western series. Radiother Oncol 2002; 2 (62): 185–9.
13. Snyder LS, Heigh RI, Anderson ML. Cyclophosphamide-induced hepatotoxicity in a patient with Wegener's granulomatosis. Mayo Clin Proc 1993; 12 (68): 1203–4.
14. Cersosimo RJ. Hepatotoxicity associated with cisplatin chemotherapy. Ann Pharmacother 1993; 27 (4): 438–41.
15. Kern W, Braess J, Kotschofsky M et al. Application of cisplatin as intraoperative hyperthermic peritoneal lavage (IHPL) in patience with locally advanced gastric cancer: analysis of pharmacokinetics and of nephrotoxicity. Anticancer Res 2002; 22 (5): 3099–102.