USE OF PEPSAN-R IN THE TREATMENT OF GASTROESOPHAGEAL REFLUX DISEASE


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Abstract

The anti-inflammatory effect of Pepsan-R that is new to the Russian Federation, used as monotherapy in 50 patients with 0-first degree gastroesophageal reflux disease (GERD), was evaluated. The drug contains 2 active ingredients: guaiazulene and dimeticone. The mechanism of its action is to suppress mast cell degranulation and to generate a protective layer on the gastroesophageal mucosa. The efficacy of the agent was clinically shown in 100% of the patients (10% of them needed larger doses of the drug). Four-week positive changes were morphoendoscopically seen in 50% of the patients. No side effects were recorded

About the authors

O Minushkin

Email: Iemas3@yandex.ru <mailto:Iemas3@yandex.ru>

I Loranskaya

Email: Iemas3@yandex.ru <mailto:Iemas3@yandex.ru>

I Zverkov

Email: Iemas3@yandex.ru <mailto:Iemas3@yandex.ru>

L Rakitskaya

Email: Iemas3@yandex.ru <mailto:Iemas3@yandex.ru>

L Mamedova

Email: Iemas3@yandex.ru <mailto:Iemas3@yandex.ru>

V Vishnevskaya

Email: Iemas3@yandex.ru <mailto:Iemas3@yandex.ru>

L Maslovskiy

Email: Iemas3@yandex.ru <mailto:Iemas3@yandex.ru>

O Minushkin

Medical Center, RF President's Administration of Affairs

; Medical Center, RF President's Administration of Affairs

I Loranskaya

Russian Medical Academy of Postgraduate Education

; Russian Medical Academy of Postgraduate Education

I Zverkov

Medical Center, RF President's Administration of Affairs

; Medical Center, RF President's Administration of Affairs

L Rakitskaya

Russian Medical Academy of Postgraduate Education

; Russian Medical Academy of Postgraduate Education

L Mamedova

Russian Medical Academy of Postgraduate Education

; Russian Medical Academy of Postgraduate Education

I Vishnevskaya

Russian Medical Academy of Postgraduate Education

; Russian Medical Academy of Postgraduate Education

L Maslovsky

Medical Center, RF President's Administration of Affairs

; Medical Center, RF President's Administration of Affairs

References

  1. Akagi M., Matsui N., Mochizuki S. et al. Inhibitory effect of egualen sodium: a new stable derivate of azulen on histamine release from mast cell-like cells in the stomach // Pharmacology. - 2001; 63 (4): 203-209.
  2. Barclay R.L., Dinda P.K., Morris G.P et al. Morphologycal evidence of mast cell degranulation in an animal model of acid-induced esophageal mucosal injuri // Dig Dis Sci. -1995; 40 (8): 1651-1658.
  3. Kourounakis A.P., Rekka E.A., Kourounakis P.N. Antioxidant activity of guaiazulene and protection against paracetamol hepatoxicity in rats //J. Pharm. Pharmacol. - 1997; 49 (9): 938-942.
  4. Oh T.Y., Lee J.S., Ahn B.O. et al. Oxidative damages are critical in pathogenesis of reflux esophagitis: implication of antioxodants in its treatment // Free Radic Biol Med. - 2001; 30 (8): 905-915.

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