Bykov YuV, Bekker RA. On the specific treatment of asthenic states: focus on sulbutiamine. Terapevticheskii Arkhiv (Ter. Arkh.). 2022;94(5):689–694. DOI: 10.26442/00403660.2022.05.201533
Специфическое лечение астенических состояний: в фокусе сульбутиамин
Bykov YuV, Bekker RA. On the specific treatment of asthenic states: focus on sulbutiamine. Terapevticheskii Arkhiv (Ter. Arkh.). 2022;94(5):689–694. DOI: 10.26442/00403660.2022.05.201533
В данной статье мы постарались представить читателю в краткой и сжатой форме данные о фармакокинетике и фармакодинамике препарата сульбутиамин (Энерион®), о механизмах его антиастенического действия, проанализировать и обобщить имеющуюся доказательную базу по эффективности и безопасности применения Энериона для лечения астенических состояний, провести сравнение его с некоторыми альтернативными препаратами. Результаты нашего обзора свидетельствуют о высокой эффективности и безопасности Энериона при лечении астении, а также о наличии у него клинически значимых преимуществ перед всеми рассмотренными альтернативами.
Ключевые слова: сульбутиамин, тиамин, бенфотиамин, Энерион, астенические состояния
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In this article, we try to present the available data regarding the pharmacokinetics and pharmacodynamics of sulbutiamine (Enerion®), the mechanisms of its anti-asthenic action. Then we analyze and summarize the available evidence base considering the efficacy and safety of Enerion® for the treatment of asthenic syndromes. Then we compare Enerion® with some other drugs. The results of our review indicate the high efficacy and safety of sulbutiamine in the treatment of asthenia. Our results also show that Enerion® has some clinically relevant advantages over all alternatives we reviewed there.
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The possibilities of using Cytoflavin in the treatment of cognitive and emotional disorders in patients with tension headaches. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova. 2019;11(119):32-6 (in Russian)]. DOI:10.17116/jnevro201911911132
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13. Bettendorff L, Wins P, Lesourd M. Subcellular localization and compartmentation of thiamine derivatives in rat brain. Biochim Biophys Acta – Mol Cell Res. 1994;1222(1):1-6. DOI:10.1016/0167-4889(94)90018-3
14. Micheau J, Durkin TP, Destrade C, et al. Chronic administration of sulbutiamine improves long term memory formation in mice: Possible cholinergic mediation. Pharmacol Biochem Behav. 1985;23(2):195-8. DOI:10.1016/0091-3057(85)90555-6
15. Михайлова Н.М. Применение Энериона для лечения астенических расстройств в психогериатрической практике. Психиатрия. 2004;4(10):65-75 [Mikhailova NM. The use of Enerion for the treatment of asthenic disorders in psychogeriatric practice. Psychiatry. 2004;4(10):65-75 (in Russian)].
16. Trovero F, Gobbi M, Weil-Fuggaza J, et al. Evidence for a modulatory effect of sulbutiamine on glutamatergic and dopaminergic cortical transmissions in the rat brain. Neurosci Lett. 2000;292(1):49-53. DOI:10.1016/s0304-3940(00)01420-8
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DOI:10.1016/s0149-7634(96)00030-9
18. Stahl SM. Stahl’s Essential Psychopharmacology: Neuroscientific Basis and Practical Applications. Cambridge university press, 2013.
19. Healy DJ, Meador-Woodruff JH. Clozapine and haloperidol differentially affect AMPA and kainate receptor subunit mRNA levels in rat cortex and striatum. Brain Res Mol Brain Res. 1997;47(1-2):331-8. DOI:10.1016/s0169-328x(97)00064-8
20. Kwag J, Majid AS, Kang KD. Evidence for neuroprotective effect of sulbutiamine against oxygen-glucose deprivation in rat hippocampal CA1 pyramidal neurons. Biol Pharm Bull. 2011;34(11):1759-64. DOI:10.1248/bpb.34.1759
21. Sevim S, Kaleağası H, Taşdelen B. Sulbutiamine shows promising results in reducing fatigue in patients with multiple sclerosis. Mult Scler Relat Disord. 2017;16:40-3. DOI:10.1016/j.msard.2017.05.010
22. Balzamo E, Vuilloncacciuttolo G. Facilitation de l’etat de veille d’un traitement semi-chronique par la sulbutiamine (Arcalion) chez Macaca mulatta. Rev d’ Electroencéphalographie Neurophysiol Clin. 1982;12(4):373-8. DOI:10.1016/s0370-4475(82)80029-4
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25. Sambon M, Wins P, Bettendorff L. Neuroprotective effects of thiamine and precursors with higher bioavailability: focus on benfotiamine and dibenzoylthiamine. Int J Mol Sci. 2021;22(11):5418. DOI:10.3390/ijms22115418
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________________________________________________
1. Morozov PV. New in the treatment of asthenia. Psychiatry and Ppsychopharmacotherapy. 2005;3(7):154-9 (in Russian).
2. Chutko LS. Asthenic disorders in clinical practice. Meditsinskiy sovet = Medical Council. 2011;9-10:104-107 (in Russian).
3. Vakhnina NV, Kalinicheva EYu. The use of vitamin and mineral complexes as part of nootropic therapy for asthenic conditions and neurological disorders. Meditsinskiy sovet = Medical Council. 2015;11:12-6 (in Russian). DOI:10.21518/2079-701X-2015-11-12-16
4. Petrova NN, Morozov PV, Markin AV, et al. The COVID-19 pandemic: current challenges of the time, as well as the latest data on the rational choice of psychopharmacotherapy in patients with SARS-CoV-2. Psychiatry and Psychopharmacotherapy. 2020;6(22):8-24 (in Russian).
5. Vorobyeva AA. Asthenic conditions: effective and safe therapy. Russian Medical Journal. 2009;20(17):1330-3 (in Russian).
6. Shakirova IN, Dyukova GM. Asthenia – an interdisciplinary problem. Trudnyj Pacient = Difficult Patient. 2012;5(10):14-6 (in Russian).
7. Starling-Soares B, Carrera-Bastos P, Bettendorff L. Role of the synthetic B1 vitamin sulbutiamine on health. J Nutr Metab. 2020;2020:9349063. DOI:10.1155/2020/9349063
8. Filippova AV, Pereverzev AP, Ebzeeva EYu, Ostroumova OD. Mildronat. Chronic fatigue syndrome. Medical Alphabet. 2020;7:15-20 (in Russian). DOI:10.33667/2078-5631-2020-7-15-20
9. Statsenko ME, Turkina SV, Pushkova YuE. New data on a well-known drug: focus on meldonium. Meditsinskiy sovet = Medical Council. 2021;6(14):110-7 (in Russian).
DOI:10.21518/2079-701X-2021-14-110-117
10. Semak AE, Dymkovskaya MN, Zharko AE, et al. Experience in the use and comparative analysis of the effectiveness of the drugs cavinton and vinpocetine in the treatment of cerebral infarction in the early recovery period. Medical Business: Scientific and Practical Therapeutic Journal. 2014;5:7-14 (in Russian).
11. Chutko LS, Surushkina SYu, Yakovenko EA, et al.
The possibilities of using Cytoflavin in the treatment of cognitive and emotional disorders in patients with tension headaches. Zhurnal nevrologii i psikhiatrii im. S.S. Korsakova. 2019;11(119):32-6 (in Russian). DOI:10.17116/jnevro201911911132
12. Bettendorff L, Weekers L, Wins P, Schoffeniels E. Injection of sulbutiamine induces an increase in thiamine triphosphate in rat tissues. Biochem Pharmacol. 1990;40(11):2557-60. DOI:10.1016/0006-2952(90)90099-7
13. Bettendorff L, Wins P, Lesourd M. Subcellular localization and compartmentation of thiamine derivatives in rat brain. Biochim Biophys Acta – Mol Cell Res. 1994;1222(1):1-6. DOI:10.1016/0167-4889(94)90018-3
14. Micheau J, Durkin TP, Destrade C, et al. Chronic administration of sulbutiamine improves long term memory formation in mice: Possible cholinergic mediation. Pharmacol Biochem Behav. 1985;23(2):195-8. DOI:10.1016/0091-3057(85)90555-6
15. Mikhailova NM. The use of Enerion for the treatment of asthenic disorders in psychogeriatric practice. Psychiatry. 2004;4(10):65-75 (in Russian).
16. Trovero F, Gobbi M, Weil-Fuggaza J, et al. Evidence for a modulatory effect of sulbutiamine on glutamatergic and dopaminergic cortical transmissions in the rat brain. Neurosci Lett. 2000;292(1):49-53. DOI:10.1016/s0304-3940(00)01420-8
17. Meltzer LT, Christoffersen CL, Serpa CA. Modulation of dopamine neuronal activity by glutamate receptor subtypes. Neurosci Biobehav Rev. 1997;21(4):511-8.
DOI:10.1016/s0149-7634(96)00030-9
18. Stahl SM. Stahl’s Essential Psychopharmacology: Neuroscientific Basis and Practical Applications. Cambridge university press, 2013.
19. Healy DJ, Meador-Woodruff JH. Clozapine and haloperidol differentially affect AMPA and kainate receptor subunit mRNA levels in rat cortex and striatum. Brain Res Mol Brain Res. 1997;47(1-2):331-8. DOI:10.1016/s0169-328x(97)00064-8
20. Kwag J, Majid AS, Kang KD. Evidence for neuroprotective effect of sulbutiamine against oxygen-glucose deprivation in rat hippocampal CA1 pyramidal neurons. Biol Pharm Bull. 2011;34(11):1759-64. DOI:10.1248/bpb.34.1759
21. Sevim S, Kaleağası H, Taşdelen B. Sulbutiamine shows promising results in reducing fatigue in patients with multiple sclerosis. Mult Scler Relat Disord. 2017;16:40-3. DOI:10.1016/j.msard.2017.05.010
22. Balzamo E, Vuilloncacciuttolo G. Facilitation de l’etat de veille d’un traitement semi-chronique par la sulbutiamine (Arcalion) chez Macaca mulatta. Rev d’ Electroencéphalographie Neurophysiol Clin. 1982;12(4):373-8. DOI:10.1016/s0370-4475(82)80029-4
23. Lôo H, Poirier MF, Ollat H, Elatki S. Effects of sulbutiamine (Arcalion 200) on psycho-behavioral inhibition in major depressive episodes. Encephale. 2000;26(2):70-5.
24. Volvert ML, Seyen S, Piette M, et al. Benfotiamine, a synthetic S-acyl thiamine derivative, has different mechanisms of action and a different pharmacological profile than lipid-soluble thiamine disulfide derivatives. BMC Pharmacol. 2008;8(1):10. DOI:10.1186/1471-2210-8-10
25. Sambon M, Wins P, Bettendorff L. Neuroprotective effects of thiamine and precursors with higher bioavailability: focus on benfotiamine and dibenzoylthiamine. Int J Mol Sci. 2021;22(11):5418. DOI:10.3390/ijms22115418
26. Golovina AG. Enerion in the treatment of asthenic disorders in adolescents in outpatient psychiatric practice. Psychiatry. 2004;3(9):43-9 (in Russian).
27. Gurak SV, Parfenov VA. Asthenia after stroke and myocardial infarction and its treatment with enerion. Clinical Gerontology. 2005;8(11):9-12 (in Russian).
28. Ollat H, Laurent B, Bakchine S, et al. Effects of the association of sulbutiamine with an acetylcholinesterase inhibitor in early stage and moderate Alzheimer disease. Encephale. 2007;33(2):211-5. DOI:10.1016/s0013-7006(07)91552-3
29. Khasanova D, Mukhutdinova E, Zhitkova Yu. Enerion (salbutyamine) in the treatment of post-stroke asthenic syndrome. Doctor. 2008;7:66-69 (in Russian).
30. Lebedev MA, Palatov SYu, Kovrov GV. Fatigue and its manifestations. Russian Medical Journal. 2014;4(22):282-286 (in Russian).
Авторы
Ю.В. Быков*1, Р.А. Беккер2
1 ФГБОУ ВО «Ставропольский государственный медицинский университет» Минздрава России, Ставрополь, Россия;
2 Университет им. Давида Бен-Гуриона в Негеве, Беэр-Шева, Израиль
*yubykov@gmail.com
________________________________________________
Yuri V. Bykov*1, Roman A. Bekker2
1 Stavropol State Medical University, Stavropol, Russia;
2 David Ben-Gurion University in Negev, Be’er-Sheva, Israel
*yubykov@gmail.com