Febuxostat in the therapy of gout: from theory to practice

Gout is a chronic disease that requires permanent urate-lowering therapy. Allopurinol is the gold standard of this therapy. The novel drug febuxostat, a selective xanthine oxidase inhibitor, has been synthesized and introduced into clinical practice in the last 10 years. The paper reviews the litera...

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Main Authors: E. V. Ilyinykh, S. A. Vladimirov, M. S. Eliseev
Format: Article
Language:Russian
Published: IMA-PRESS LLC 2018-01-01
Series:Современная ревматология
Subjects:
Online Access:https://mrj.ima-press.net/mrj/article/view/800
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author E. V. Ilyinykh
S. A. Vladimirov
M. S. Eliseev
author_facet E. V. Ilyinykh
S. A. Vladimirov
M. S. Eliseev
author_sort E. V. Ilyinykh
collection DOAJ
description Gout is a chronic disease that requires permanent urate-lowering therapy. Allopurinol is the gold standard of this therapy. The novel drug febuxostat, a selective xanthine oxidase inhibitor, has been synthesized and introduced into clinical practice in the last 10 years. The paper reviews the literature on the main clinical trials of febuxostat, which show its efficacy that is comparable to or more higher than that of allopurinol, as well as the possibility of using this drug for reduced kidney function, allergic reaction to allopurinol or resistance to therapy with allopurinol, which considerably improves prognosis in these patients. The long-term use of febuxostat is noted to result in almost complete resorption of tophi and in termination of gouty arthritis attacks. These findings allow febuxostat to be considered as a promising and essential medication for the treatment of gout. Great hopes are pinned on the extension of its application; there are ongoing investigations regarding the possibility of using this drug for asymptomatic hyperuricemia and other conditions accompanied by higher uric acid levels.
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spelling doaj.art-9d9786cb42254dcfaf4058152fb2a88c2023-03-13T08:39:25ZrusIMA-PRESS LLCСовременная ревматология1996-70122310-158X2018-01-01114838810.14412/1996-7012-2017-4-83-882071Febuxostat in the therapy of gout: from theory to practiceE. V. Ilyinykh0S. A. Vladimirov1M. S. Eliseev2ФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой», МоскваФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой», МоскваФГБНУ «Научно-исследовательский институт ревматологии им. В.А. Насоновой», МоскваGout is a chronic disease that requires permanent urate-lowering therapy. Allopurinol is the gold standard of this therapy. The novel drug febuxostat, a selective xanthine oxidase inhibitor, has been synthesized and introduced into clinical practice in the last 10 years. The paper reviews the literature on the main clinical trials of febuxostat, which show its efficacy that is comparable to or more higher than that of allopurinol, as well as the possibility of using this drug for reduced kidney function, allergic reaction to allopurinol or resistance to therapy with allopurinol, which considerably improves prognosis in these patients. The long-term use of febuxostat is noted to result in almost complete resorption of tophi and in termination of gouty arthritis attacks. These findings allow febuxostat to be considered as a promising and essential medication for the treatment of gout. Great hopes are pinned on the extension of its application; there are ongoing investigations regarding the possibility of using this drug for asymptomatic hyperuricemia and other conditions accompanied by higher uric acid levels.https://mrj.ima-press.net/mrj/article/view/800подагра, фебуксостат, аллопуринол
spellingShingle E. V. Ilyinykh
S. A. Vladimirov
M. S. Eliseev
Febuxostat in the therapy of gout: from theory to practice
Современная ревматология
подагра, фебуксостат, аллопуринол
title Febuxostat in the therapy of gout: from theory to practice
title_full Febuxostat in the therapy of gout: from theory to practice
title_fullStr Febuxostat in the therapy of gout: from theory to practice
title_full_unstemmed Febuxostat in the therapy of gout: from theory to practice
title_short Febuxostat in the therapy of gout: from theory to practice
title_sort febuxostat in the therapy of gout from theory to practice
topic подагра, фебуксостат, аллопуринол
url https://mrj.ima-press.net/mrj/article/view/800
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AT savladimirov febuxostatinthetherapyofgoutfromtheorytopractice
AT mseliseev febuxostatinthetherapyofgoutfromtheorytopractice