[Combined basic therapy of rheumatoid arthritis with methotrexate and plaquenil].

Abstract:

AIM:To compare efficacy of basic RA treatment with methotrexate+plaquenil and basic monotherapy with methotrexate. MATERIAL AND METHODS:Two groups of rheumatoid arthritis (RA) patients were studied: group 1 (n = 82) received combined basic treatment with methotrexate (7.5 mg/week) in combination with plaquenil (0.2 ?mg/day); group 2 (n = 60) received methotrexate monotherapy according to the same scheme; all the patients received also diclofenak in a dose 100 mg/day; low-dose glucocorticosteroids were given to 36 and 24 patients, respectively. To improve methotrexate tolerance, all the patients took folic acid (1-2 mg/day 5 days a week). Efficacy of the treatment was evaluated by regression and final value of inflammation activity. RESULTS:6-month treatment produced in groups 1 and 2 good effect in 27.6 and 21.4%, satisfactory effect--in 65.5 and 66.6% patients, respectively. No effect was seen in 6.8 and 11.9% patients, respectively. A good effect was achieved in group 1 in 73.3 +/- 5.4 days; in group 2--in 93.7 +/- 5.9 days (p < 0.05). In 12 months good and satisfactory effects persisted. Side effects occurred with the same frequency in both groups primarily in those who did not take folic acid. CONCLUSION:Combined basic therapy of RA with methotrexate and plaquenil was more effective than monotherapy with methotrexate because it produced good effects more frequently and earlier while no response was seen less often.

journal_name

Ter Arkh

journal_title

Terapevticheskii arkhiv

authors

Sergiets NA,Erov NK

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

34-7

issue

6

eissn

0040-3660

issn

2309-5342

journal_volume

81

pub_type

杂志文章
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    authors: Petriĭ VV,Sergushkina NG,Brazhnik VA,Makolkin VI

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    doi:

    authors: Shumov AM,Shutova LA,Shapiro GR

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    doi:

    authors: Popova EN,Lebedeva MV,Ponomarev AB,Popova IA,Fomin VV

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    doi:

    authors: Minushkin ON,Vasil'eva NIu,Kudriavtseva LV

    更新日期:1998-01-01 00:00:00

  • [Use of ultrasonography in prophylactic examinations at an industrial enterprise].

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    doi:

    authors: Filatov AA,Minkov IuM

    更新日期:1991-01-01 00:00:00

  • [Postinfarction remodeling of the left atrium and left ventricle: effects of long-term treatment with beta adrenergic blockers and angiotensin converting enzyme inhibitors].

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    doi:

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  • [Specific features of the enteric microbiota composition in patients with alcoholic liver cirrhosis].

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    doi:

    authors: Mazurov VI,Stvolov SV,Linetskaia NE,Baldueva IA

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    doi:

    authors: Movchan EA,Tov NL,Loskutova SA,Chuprova AV

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    doi:

    authors: Khamaganova IV,Berlin IuV,Volkov VE,Voĭnich ZV,Arutiunova ES

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    authors: Iakhno NN,Damulin IV,Zakharov VV,Levin OS,Elkin MN

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  • [Echodiagnosis of the kidney lesion in gout].

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    journal_title:Terapevticheskii arkhiv

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    doi:

    authors: Tsurko VV,Zeĭdlits LA,Akimova TF,Novoselova TM,Altunina AN

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  • [Systolic and diastolic intraventricular asynchrony of the left ventricular myocardium in patients with pacemaker].

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  • [Antibacterial therapy for acute cystitis in the age of growing pathogen resistance].

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  • [Economic assessment of efficacy of vasaprostan treatment of critical lower limbs ischemia].

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  • [Long-term entecavir efficacy retention in the treatment of chronic hepatitis B with an outcome to hepatic cirrhosis caused by its resistant virus strain].

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    authors: Znoiko OO,Dudina KR,Safiullina NKh,Karandashova IV,Chulanov VP

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  • [Eosinophilic exudative pleurisy as a manifestation of drug allergy].

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    pub_type: 杂志文章

    doi:

    authors: Anshelevich IuV,Svistunova AA

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  • The impact of therapeutic plasma exchange and double filtration plasmapheresis on hemostasis in renal transplant recipients.

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  • [Optimizing the prophylaxis of hospital-acquired deep vein thrombosis and pulmonary thromboembolism].

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    pub_type: 杂志文章

    doi:

    authors: Panfilov IuA,Sharonov VG

    更新日期:1990-01-01 00:00:00

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    abstract::Chronic hepatitis B (CHB) and C (CHC) are one of the leading causes of cirrhosis and liver cancer with over a million of people dying annually from their consequences. In Russia CHB and CHC morbidity and related mortality show an upward trend. As a result of recent breakthroughs in antiviral therapeutics CHC became a ...

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    pub_type: 杂志文章,评审

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  • [The epidemiology of the risk factors for cardiovascular diseases and their combination among the male population in the cities of different regions of the CIS Nations and Baltic states. A cooperative study].

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    pub_type: 杂志文章,多中心研究

    doi:

    authors: Konstantinov VV,Zhukovskiĭ GS,Burlutskiĭ GI,Malakhov VN,Konstantinova OS,Kapustina AV,Shestov DB,Deev AD,Smirnova IP,Serova NV

    更新日期:1993-01-01 00:00:00

  • [The value of bone mineral density assessment by dual-energy x-ray absorptiometry for prediction of cardiovascular mortality in patients treated with hemodialysis].

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  • [Unwanted reactions to modifying antirheumatic drugs].

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    pub_type: 杂志文章

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    authors: Evsikova MD,Muraviev IuV

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  • [Antistreptococcal antibodies in the blood serum of glomerulonephritis patients].

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    authors: Nanchikeeva ML,Mukhin NA,Poliantseva LR,Kozlovskaia LV,Briko NI

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