FUNCTIONAL LIVER STATUS IN PATIENTS WITH COMORBID COURSE OF OSTEOARTHROSIS AND OBESITY DEPENDING ON THE NONSTEROIDAL ANTI-INFLAMMATORY DRUG
DOI:
https://doi.org/10.11603/1811-2471.2016.v26.i2.6255Abstract
SUMMARY. In order to clarify the peculiarities of liver lesions in patients with osteoarthrosis (OA) and obesity against
the ground of nonsteroidal anti-inflammatory drugs (NSAIDs) indication (nimesulide, meloxicam, diclofenac, paracetamol,
ibuprofen) 48 patients have been examined with OA of the knee and femoral joints and obesity of I-III degrees. Maximal
hepatotoxic effect after 2 week administration for patients with OA and obesity has been found to be manifested in case
of paracetamol, diclofenac, nimesulide, ibuprofen indications; meloxicam demonstrates a minimal hepatotoxic effect
and can be recommended in case of this comorbidity.
Key words : osteoarthrosis, obesity, NSAIDs.
References
Zvyahyntseva T. D. Lekarstvennye porazhenyya peche-
ny. NPVP-assotsyyrovannye hepatopatyy: aktualʹnostʹ
problemy y sovremennye terapevtycheskye podkhody /
T. D. Zvyahyntseva., A. Y. Chernobay // Ukr. med. chasopys. –
– № 1 (99). – S. 80–85.
Kovalenko V. M. Osteoartroz i bilʹ: stan proble-
my / V. M. Kovalenko, O. P. Bortkevych // Bolʹ. Sustavy.
Pozvonochnyk. – 2011. – № 1. – S. 41–44.
Smiyan S. I. Otsinka efektyvnosti likuvannya osteo-
artrozu u patsiyentiv z nadmirnoyu masoyu tila i metabo-
lichnym syndromom / S. I. Smiyan, C. P. Husak // Vnutrishnya
medytsyna. – 2008. – № 4 (10). – S. 49–54.
Khukhlina O. S. Nealkoholʹna zhyrova khvoroba pe-
chinky, metabolichnyy syndrom i syndrom nadmirnoho
bakterialʹnoho rostu: klinichni osoblyvosti perebihu,
patohenetychni mekhanizmy vzayemoobtyazhennya ta pidkhody
do likuvannya / O. S. Khukhlina, I. YU. Korniychuk, O. YE . Man-
dryk. – Chernivtsi, 2013. – 245 s.
Khukhlina O. S. Nealkoholʹnyy steatohepatyt ta
hipertonichna khvoroba: osoblyvosti komorbidnoho pere-
bihu, optymizovani pidkhody do likuvannya / O. S. Khukhlina,
O. YE . Mandryk – Chernivtsi, 2014. – 204 s.
Shuba N. M. Hepatotoksychnostʹ NPVP: sushchestvu-
et ly realʹnaya uhroza? / N. M. Shuba, T. D. Voronova //
Ukr. revmatol. zhurn. – 2009. – № 1 (35). – S. 33–39.
Aithal G. P. Case definition and phenotype
standardization
in drug–induced liver injury / G. P. Aithal,
P. B. Watkins, R. J. Andrade [et al.] // Clin. Pharmacol. Ther. –
– № 89 (6). – R. 806–815.
Bell L. N. Epidemiology of idiosyncratic drug-induced
liver injury / L. N. Bell, N. Chalasani // Semin. Liver
Dis. – 2009. – № 29 (4). – R. 337–347.
Mengoli M. Drug-induced hepatotoxicity: clinical
and biochemical features of 26 patients and a review of the
literature / M. Mengoli, D. Parmeggiani, M. C. Mengoli [et
al.] // Recenti Prog. Med. – 2011. – № 102 (6). – R. 253–260.