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The potential of erdosteine to reduce the rate of exacerbations of chronic obstructive pulmonary disease

https://doi.org/10.18093/0869-0189-2022-32-2-253-259

Abstract

Exacerbations of COPD worsen health status, increase the frequency of hospitalizations, the likelihood of disease progression, and the risk of adverse outcomes. One of the main goals of the treatment of stable COPD today is to reduce the frequency of exacerbations of the disease. Thus, the expansion of suitable therapeutic options is extremely relevant for clinical practice. Use of mucolytic drugs with antioxidant and anti-inflammatory effects in COPD is justified by the pathogenetic mechanisms. These drugs are able to reduce the frequency of exacerbations, among other positive effects.

Aim. This article describes additional possibilities of pharmacotherapy using the mucoactive drug erdosteine as maintenance therapy for COPD aimed at preventing exacerbations of this disease.

Conclusion. The use of erdosteine in patients with stable COPD helps reduce the frequency and duration of exacerbations of the disease, primarily in the patients with stage II according to GOLD.

About the Authors

S. N. Avdeev
Federal State Autonomous Educational Institution of Higher Education I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University); Federal Pulmonology Research Institute, Federal Medical and Biological Agency of Russia
Russian Federation

Sergey N. Avdeev, Doctor of Medicine, Professor, Corresponding Member of Russian Academy of Sciences, Head of the Department of Pulmonology, N.V.Sklifosovsky Institute of Clinical Medicine,  I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Head of the Clinical Department, Federal Pulmonology Research Institute

SPIN-code: 1645-5524

ul. Trubetskaya 8, build. 2, Moscow, 119991, Russia; 
Orehovyy bul. 28, Moscow, 115682, Russia



N. V. Trushenko
Federal State Autonomous Educational Institution of Higher Education I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University); Federal Pulmonology Research Institute, Federal Medical and Biological Agency of Russia
Russian Federation

Natal’ya V. Trushenko, Candidate of Medicine, Assistant, Department of Pulmonology, N.V.Sklifosovsky Institute of Clinical Medicine,  I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University), Researcher, Scientific and Methodological Center for Monitoring and Control of Respiratory Diseases, Federal Pulmonology Research Institute

ul. Trubetskaya 8, build. 2, Moscow, 119991, Russia; 
Orehovyy bul. 28, Moscow, 115682, Russia



S. Yu. Chikina
Federal State Autonomous Educational Institution of Higher Education I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)
Russian Federation

Svetlana Yu. Chikina, Candidate of Medicine, Assistant Lecturer, Department of Pulmonology, N.V.Sklifosovsky Institute of Clinical Medicine,  I.M.Sechenov First Moscow State Medical University 

ul. Trubetskaya 8, build. 2, Moscow, 119991, Russia



O. A. Suvorova
Federal State Autonomous Educational Institution of Higher Education I.M.Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)
Russian Federation

Olga A. Suvorova, 1st year Resident of Department of Pulmonology, N.V.Sklifosovsky Institute of Clinical Medicine,  I.M.Sechenov First Moscow State Medical University 

ul. Trubetskaya 8, build. 2, Moscow, 119991, Russia



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Review

For citations:


Avdeev S.N., Trushenko N.V., Chikina S.Yu., Suvorova O.A. The potential of erdosteine to reduce the rate of exacerbations of chronic obstructive pulmonary disease. PULMONOLOGIYA. 2022;32(2):253-259. (In Russ.) https://doi.org/10.18093/0869-0189-2022-32-2-253-259

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ISSN 0869-0189 (Print)
ISSN 2541-9617 (Online)