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N-acetylcysteine – a drug for basic and symptomatic therapy of chronic bronchitis/chronic obstructive pulmonary disease

https://doi.org/10.18093/0869-0189-2024-34-5-756-765

Abstract

Prevention and successful treatment of the disease exacerbations are crucial for patients with chronic bronchitis (CB) and chronic obstructive pulmonary disease (COPD). At present, a sufficient number of efforts are being made to improve both prevention of exacerbations in patients with stable disease progression and treatment of the exacerbations. According to international and domestic recommendations, mucolytic drugs are among the key therapies for both bronchitis phenotype of COPD and chronic bronchitis, the main clinical manifestation of which is a long-term productive cough. The aim of the review is to analyze modern literature data that reflect the role of N-acetylcysteine (NAC) in prevention of exacerbations during the stable course and treatment of exacerbations of chronic bronchitis and COPD.

About the Authors

I. V. Leshchenko
Federal State Budget Educational Institution of Higher Education “Ural State Medical University” of the Ministry of Health of the Russian Federation; Ural Federal Research Institute of Phthisiology and Pulmonology – a Branch of National Medical Research Center for Phthisiology, Pulmonology and Infectious Diseases, Healthcare Ministry of Russia; Limited Liability Company “Novaya bol’nitsa” Clinical Association
Russian Federation

Igor V. Leshсhenko - Doctor of Medicine, Professor; Professor, Department of Infectious Diseases, Phthisiology and Pulmonology, Ural State Medical University; Chief Researcher, Ural Federal Research Institute of Phthisiology and Pulmonology – a Branch of NMRC for Phthisiology, Pulmonology and Infectious Diseases, Healthcare Ministry of Russia; Scientific Director, Limited Liability Company “Novaya bol’nitsa” Clinical Association, Chief Freelance Pulmonologist, Healthcare Ministry of the Sverdlovsk Region, Honored Doctor of the RF.

Ul. Repina 3, Ekaterinburg, 620028; ul. 22-go Parts’ezda 50, Ekaterinburg, 620039; ul. Zavodskaya 29, Ekaterinburg, 620109; tel.: (912) 288-28-23


Competing Interests:

The authors declare no conflict of interest



A. A. Zaytsev
Federal State Budgetary Educational Institution of Higher Education Russian Biotechnological University; Federal State Budgetary Educational Institution of Higher Education “Russian University of Medicine” of the Ministry of Health of the Russian Federation
Russian Federation

Andrey A. Zaicev - Doctor of Medicine, Professor, Head of the Department of Pulmonology (with a course of allergology), Medical Institute of Continuing Education, Institution of Higher Education Russian Biotechnological University; Professor, Department of Hospital Therapy No.2, Russian University of Medicine.

Volokolamskoye shosse 11, Moscow, 125080; 5 ul. Dolgorukovskaya 4, Moscow, 127006; tel.: (495) 263-55-55


Competing Interests:

The authors declare no conflict of interest



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Supplementary files

Review

For citations:


Leshchenko I.V., Zaytsev A.A. N-acetylcysteine – a drug for basic and symptomatic therapy of chronic bronchitis/chronic obstructive pulmonary disease. PULMONOLOGIYA. 2024;34(5):756-765. (In Russ.) https://doi.org/10.18093/0869-0189-2024-34-5-756-765

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