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    1. South Ural state medical University, Ministry of health of Russia (Chelyabinsk, Russia)

    Keywords: antituberculosis drug, hepatotoxicity, drug-induced liver injury

    Abstract: The development of hepatotoxic reactions is one of the most common and clinically signifi cant side eff ects of antituberculosis drugs (АTP). The article presents information about risk factors, pathogenetic mechanisms of the drug-induced liver injury (DILI) in chemotherapy of tuberculosis. The characteristic of АTP, with a higher incidence of hepatotoxic reactions, is given. The main principles of diagnosis and treatment of DILI induced by ATP are given. The relevance of the use of hepatoprotectors to prevent unwanted reactions of chemotherapy for tuberculosis has been noted.

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    Dolgushina A. I., Volchegorsky I. A., Novoselov P. N., Ushkareva E. V., Olevskaya E. R., Kuznetsova A. S. Antituberculosis drug-induced hepatotoxicity. Experimental and Clinical Gastroenterology. 2018;156(8): 116–124.DOI: 10.31146/1682-8658-ecg-156-8-116-124
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    1. E. A. Vagner Perm State Medical University (614990, Perm, Russia)
    2. Perm Regional Hospital (614990, Perm, Russia)

    Keywords: hepatotoxicity, psychotropic drugs

    Abstract: Now in psychiatric practice the big range of both traditional, and modern psychotherapeutic drugs is used. Many of them are capable to cause a damage to a liver which can proceed as it is asymptomatic, and to have a serious fulminantny current. Especially it touches the patients having risk factors of drugs hepatotoxic. In this regard at the choice of psychotropic drug in each case it is necessary to consider a background structurally functional condition of a liver of the patient, to compare these data with potential risks of hepatotoxic of this drug, without losing sight also of a possibility of an idiosyncrasy. The algorithm of maintaining patients with the taped hepatotoxic has to include use of potentially possible hepatotropic drugs, according to mechanisms of their corrective action and also measures of prevention of repeated hepatotoxic reactions.

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    Full text is published :
    Khlynova O. V., Smirnova E. N., Komarovskaya N. L. Private issues of hepatotoxicity of psychotropic drugs. Experimental and Clinical Gastroenterology. 2018;156(8): 125–131. DOI:10.31146/1682-8658-ecg-156-8-125-131
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    1. E. A. Vagner Perm State Medical University (614990, Perm, Russia)

    Keywords: estrogenic and gestational drugs, hepatotoxicity

    Abstract: The article presents data of the effi ciency of exogenous sex hormones use in the maintenance of women’s health, their classifi cation, and also the mechanism of action of exogenous estrogens and gestagens from the point of view of “fi rst passage through the liver” was studied in detail. Understanding the importance of hormone therapy for women, a great attention is paid to the problem of ensuring its safety, specifi cally, of the target organ — the liver. The risk factors of hepatotoxicity of exogenous sex hormones are discussed in details, the tactic of early diagnosis, treatment and prevention of liver damage on the background of hormone therapy with estrogenic and gestational drugs is defi ned.

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    Vologzhanina L. G., Borodina E. N. Liver — is the target organ of the hormone therapy in women. Experimental and Clinical Gastroenterology. 2018;156(8): 132–139.
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